Kaitlyn Michele Vizziello, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6730 Issued in CT

Practice address

15 Valley Dr
Greenwich, CT 06831-5205

Phone

(860) 940-4775

NPI assigned

Oct 24, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kaitlyn Michele Labbie Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1477270288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 KINGS HWY APT 314A",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245389",
            "telephone_number": "860-940-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 VALLEY DR",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068315205",
            "telephone_number": "860-940-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIZZIELLO",
        "first_name": "KAITLYN",
        "middle_name": "MICHELE",
        "name_prefix": "Miss",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "6730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kaitlyn@drzackson.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "Zackson Psychology Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15 Valley Dr",
            "city": "Greenwich",
            "state": "CT",
            "country_code": "US",
            "postal_code": "068315205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "LABBIE",
            "middle_name": "MICHELE",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mark Anthony Vitale, MD, MPH
• Michele Lauren Volchonok
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• Andrea B Wainer, LCSW-R
• Meagan Mae Walczak, AUD CCCA FAAA ABA

• Social Worker in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.