Katie Cushman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

008890 Issued in CT

Practice address

132 Main St Ste 2a
Southington, CT 06489-2561

Phone

(860) 878-4367

NPI assigned

Dec 19, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katie Bassoli Former name

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

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 and National Provider Directory roles.

• Open Water Wellness

  • Clinical Social Worker
  • Guilford, CT
  • NPI 1730060724
  NPD (past) Authorized official
• Clementine Counseling

  • Professional Counselor
  • West Hartford, CT
  • NPI 1205525524
  NPD
• Williams & Bassoli, LLP

  dba Willow Tree Wellness

  • Clinical Social Worker
  • Southington, CT
  • NPI 1720555642
  NPD
• Women's Center for Psychotherapy,LLC

  • Clinical Social Worker
  • West Hartford, CT
  • NPI 1710009360
  NPD

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1801132857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 MAIN ST STE 2A",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892561",
            "telephone_number": "860-878-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 MAIN ST STE 2A",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892561",
            "telephone_number": "860-878-4367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1575 Boston Post Rd Ste 2And3",
            "address_purpose": "LOCATION",
            "city": "Guilford",
            "state": "CT",
            "postal_code": "064372319",
            "country_code": "US",
            "telephone_number": "475-306-5613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUSHMAN",
        "first_name": "KATIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-19",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "BASSOLI",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly Danielle Crowe, MT-BC
• John Wayman Crowell, DMD
• CSM Care
• CT Rehabilitation & Spasticity Care, LLC
• Mitchell Aaron Cunningham, DO
• Eleanor Cyr, LPN
• Maria D'Amore, LICENSED OPTICIAN
• Karen A Daigle Destefano, LADC, LPC
• Michael T Daley, PT
• Kaitlyn Dana

• Clinical Social Worker in Southington, CT
• Providers in Southington, 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 Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.