Kristina Lyn Caceci, LCSW, M.ED.
Individual provider Active NPI Clinical Social Worker · Southbury, CT
NPI 1396402152 · NPPES record last updated Nov 29, 2021
Key facts
- NPI
- 1396402152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 010640 (CT)
- Practice address
- 512 Chestnut Tree Hill Rd
Southbury, CT 06488-1956 - Phone
- (203) 586-9956
- NPI assigned
- Nov 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010640 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In Step Counseling | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 010640 | CT | Yes |
Addresses
Primary practice location
512 Chestnut Tree Hill Rd
Southbury, CT 06488-1956
Mailing address
512 Chestnut Tree Hill Rd
Southbury, CT 06488-1956
Phone (203) 586-9956
Other names
- Kristina Caceci Berry
Other providers in Southbury, CT
- Matthew Bushey
- Gail Butler
- Renaldy Byas
- Melynda Ramona Cabrera
- Michelle Cacace
- Elisabeth Cade
- Calmbridge Wellness LLC
- Anne Calmels
- Alexandra Camerino
- Megan Elizabeth Canfield
All providers in Southbury, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.