Individual provider Active NPI

Julianne Renee Kivlin, LMSW

  • Clinical Social Worker
  • Columbia, CT
National Provider Identifier
1780338996
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15828 Issued in CT
Practice address
10 Brendi TRL
Columbia, CT 06237-1401
Phone
(860) 428-4129
NPI assigned
Feb 7, 2022
Last updated
Jun 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 15828 CT Primary

Addresses

Primary practice location

10 Brendi TRL
Columbia, CT 06237-1401

Mailing address

10 Brendi TRL
Columbia, CT 06237-1401
Phone (860) 428-4129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1780338996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BRENDI TRL",
            "city": "COLUMBIA",
            "state": "CT",
            "postal_code": "062371401",
            "telephone_number": "860-428-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BRENDI TRL",
            "city": "COLUMBIA",
            "state": "CT",
            "postal_code": "062371401",
            "telephone_number": "860-428-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIVLIN",
        "first_name": "JULIANNE",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "15828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, CT

Sources for this page

Verify at the official NPI Registry.