Kathryn Blair, L.C.S.W.
Individual provider Active NPI Clinical Social Worker · Southington, CT
NPI 1659627461 · NPPES record last updated Nov 15, 2015
Key facts
- NPI
- 1659627461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 009240 (CT)
- Practice address
- 1131 West St
Building 1, Suite 3
Southington, CT 06489-6006 - Phone
- (860) 508-2274
- NPI assigned
- Jul 30, 2012
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009240 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kathryn Blair, LCSW, LLC | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 009240 | CT | Yes |
Addresses
Primary practice location
1131 West St
Building 1, Suite 3
Southington, CT 06489-6006
Mailing address
9 Sunrise Ter
Plainville, CT 06062-1841
Other providers in Southington, CT
- Betsy Crisafulli Nutrition
- David Beversluis
- Ronald C Bezahler
- Daniel Michel Bibawy
- BJ'S Wholesale Club Inc.
- Lily Blanchet
- Arthur Blumer
- Margit Bobman
- Jessica Bocek
- Body Balance Therapeutic Massage
All providers in Southington, 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 15, 2015. 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.