Individual provider Active NPI

Katherine Sasso, LMSW

  • Clinical Social Worker
  • Waterbury, CT
National Provider Identifier
1720454028
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4735 Issued in CT
Practice address
100 Jefferson SQ
Waterbury, CT 06706-1109
Phone
(860) 908-5030
NPI assigned
Aug 20, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW 221057 MA
Clinical Social Worker 1041C0700X 4735 CT Primary

Addresses

Primary practice location

100 Jefferson SQ
Waterbury, CT 06706-1109

Mailing address

72 Chesterfield Rd
East Lyme, CT 06333-1201
Phone (860) 908-5030

Other practice location 1

72 Chesterfield Rd
East Lyme, CT 06333-1201
Phone (860) 908-5030

Other practice location 2

7 Carol Ave
Apt 2
Brighton, MA 02135-7560
Phone (860) 908-5030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210128002980 CT Practitioner - Clinical Social Worker 0143634303 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4735CTMDClinical Social Worker
LCSW 221057MAMDClinical Social Worker
11279CTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
State of Connecticut CurrentSince Apr 18, 2025 Accepting new patients
Wheeler Clinic Inc CurrentSince Dec 18, 2020 Accepting new patients
Wheeler Clinic Inc CurrentSince Dec 18, 2020 Accepting new patients
State of Connecticut CurrentSince Apr 18, 2025 Accepting new patients

Locations

450 Columbus Blvd
Ste 1001
Hartford, CT 06103

91 Northwest Dr
Plainville, CT 06062
Phone (860) 793-3871

55 W Main St
Ste 410
Waterbury, CT 06702
Phone (203) 805-6408

Interoperability endpoints

  • Direct secure messaging: katherine.sasso.p1@direct.wheelerclinic.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1720454028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 CHESTERFIELD RD",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331201",
            "telephone_number": "860-908-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 JEFFERSON SQ",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067061109",
            "telephone_number": "860-908-5030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "72 Chesterfield Rd",
            "address_purpose": "LOCATION",
            "city": "East Lyme",
            "state": "CT",
            "postal_code": "063331201",
            "country_code": "US",
            "telephone_number": "860-908-5030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Carol Ave",
            "address_2": "Apt 2",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MA",
            "postal_code": "021357560",
            "country_code": "US",
            "telephone_number": "860-908-5030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SASSO",
        "first_name": "KATHERINE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-20",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LCSW  221057",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "4735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.