Katherine Michelle Jimenez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10476 Issued in CT

Practice address

515 Centerpoint Dr Ste 223
Middletown, CT 06457-7570

Phone

(203) 819-0233

NPI assigned

Oct 2, 2018

Last updated

Nov 1, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Sep 8, 2024 through Sep 8, 2026

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beyond Counseling LLC

  • Clinical Social Worker
  • Middletown, CT
  • NPI 1447084710
  NPD Authorized official

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1689159956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 CENTERPOINT DR STE 223",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064577570",
            "telephone_number": "203-819-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 CENTERPOINT DR STE 223",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064577570",
            "telephone_number": "203-819-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "KATHERINE",
        "middle_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danuta Jaworska-Bzymek, MD
• Jeffrey D. Bert, D.D.S., M.D.SC., P.C.
• Jeffrey L. Morer, OD, PC (HealthDrive Eye Care Group)
• Jeffrey L. Morer, OD, PC (HealthDrive Eye Care Group)
• Giovanna Karen Jensen
• Ted Johanson, MA
• John Dempsey Hospital at Solnit - South Campus
• Manju Mary John
• Peder Johnsen, APRN
• Holly Johnson

• Clinical Social Worker in Middletown, CT
• Providers in Middletown, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.

Verify at the official NPI Registry.