Individual provider Active NPI

Katharine R Wilson, MSW, LCSW

  • Clinical Social Worker
  • Seymour, CT
National Provider Identifier
1982035655
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9387 Issued in CT
Practice address
179 Great Hill Rd
Seymour, CT 06483-2134
Phone
(203) 200-0309
NPI assigned
Dec 6, 2013
Last updated
May 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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 9387 CT Primary

Addresses

Primary practice location

179 Great Hill Rd
Seymour, CT 06483-2134

Mailing address

179 Great Hill Rd
Seymour, CT 06483-2134
Phone (413) 522-9063

Other practice location 1

183 Howe Ave
Shelton, CT 06484-3323
Phone (203) 200-0309

Other practice location 2

55 Walls Dr Ste 206
Fairfield, CT 06824-5180
Phone (203) 479-0673

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
I20160720002880 CT Practitioner - Clinical Social Worker 0042503534 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Seymour, CT 06483
Phone (203) 200-0309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Resources, Inc. CurrentSince Jun 2, 2016 Accepting new patients
Community Health Resources, Inc CurrentSince Jun 2, 2016 Accepting new patients
Emh Family Services PC CurrentSince Nov 20, 2023 Accepting new patients
Throughlines Therapy PLLC Clinical CurrentSince Jun 1, 2025 Accepting new patients

Locations

153 Hazard Ave
Enfield, CT 06082
Phone (860) 253-5020

55 Walls Dr
Ste 206
Fairfield, CT 06824
Phone (203) 635-5776

183 Howe Ave
Shelton, CT 06484
Phone (203) 200-0309

2 Waterside Xing
Ste 401
Windsor, CT 06095

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1982035655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 GREAT HILL RD",
            "city": "SEYMOUR",
            "state": "CT",
            "postal_code": "064832134",
            "telephone_number": "413-522-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 GREAT HILL RD",
            "city": "SEYMOUR",
            "state": "CT",
            "postal_code": "064832134",
            "telephone_number": "203-200-0309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "183 Howe Ave",
            "address_purpose": "LOCATION",
            "city": "Shelton",
            "state": "CT",
            "postal_code": "064843323",
            "country_code": "US",
            "telephone_number": "203-200-0309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Walls Dr Ste 206",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CT",
            "postal_code": "068245180",
            "country_code": "US",
            "telephone_number": "203-479-0673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KATHARINE",
        "middle_name": "R",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-06",
        "last_updated": "2025-05-21",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "9387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, CT

Sources for this page

Verify at the official NPI Registry.