Active NPI
Kathryn E Barnes, LCSW
- Clinical Social Worker
- Vernon, CT
National Provider Identifier
1669969994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10204
- Practice address
- 281 Hartford Tpke Ste 312
Vernon, CT 06066-4707 - Phone
- (860) 896-5331
- Fax
- (860) 896-5334
- NPI assigned
- Apr 23, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 10204 | CT | Primary |
Addresses
Primary practice location
281 Hartford Tpke Ste 312
Vernon, CT 06066-4707
Mailing address
281 Hartford Tpke Ste 312
Vernon, CT 06066-4707
Phone (860) 996-0207
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 834643639 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 15, 2026 through Jan 15, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Affirmation Center for Treatment, LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Vernon, CT
- NPI 1083921506
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649808000000",
"number": "1669969994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "281 HARTFORD TPKE STE 312",
"city": "VERNON",
"state": "CT",
"postal_code": "060664707",
"telephone_number": "860-996-0207",
"fax_number": "203-283-9235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "281 HARTFORD TPKE STE 312",
"city": "VERNON",
"state": "CT",
"postal_code": "060664707",
"telephone_number": "860-896-5331",
"fax_number": "860-896-5334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNES",
"first_name": "KATHRYN",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-23",
"last_updated": "2022-04-13",
"certification_date": "2022-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "10204",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "834643639",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vernon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.