Active NPI
Kristin Holdt Pracitto, LCSW
- Clinical Social Worker
- Waterbury, CT
National Provider Identifier
1992080105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 004542
- Practice address
- 402 E Main St
Waterbury Op Adult Services
Waterbury, CT 06702 - Phone
- (203) 755-1143
- Fax
- (203) 753-3274
- NPI assigned
- Oct 19, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 004542 | CT | Primary |
Addresses
Primary practice location
402 E Main St
Waterbury Op Adult Services
Waterbury, CT 06702
Mailing address
141 E Main St
4TH Floor Administration
Waterbury, CT 06702-2310
Phone (203) 574-9000
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060669107 | Other | CT | HEALTHYCT WELLMORE GRP/FACILITY |
| 060669107 | Other | CT | UBH/UNITED HEALTHCARE WELLMORE GRP/FACILITY |
| 10450310 WATERBURY | Other | CT | BEACON HEALTH STRATEGIES |
| 060669107 | Other | CT | UBH/OXFORD FREEDOM/LIBERTY WELLMORE GRP/FACILITY |
| 060669107 | Other | CT | OPTUM BEHAVIORAL HEALTH/UBH WELLMORE GRP/FACILITY |
| 060669107 | Other | CT | UBH/CONNECTICARE WELLMORE GRP/FACILITY |
| 574044 PENDING | Other | CT | MHN TRICARENORTH |
| 060669107 | Other | CT | ANTHEM BCBS OF CT WELLMORE GRP/FACILITY |
| 060669107 | Other | CT | AETNA BEHAVIORAL HEALTH WELLMORE GRP/FACILITY |
| 574044 PENDING | Other | CT | MHN MANAGED HEALTN NETWORK |
| 13752330 | Other | CT | CAQH |
| 00803733 | Medicaid | CT | |
| PENDING | Other | CT | CIGNA BEHAVIORAL HEALTH |
Other names 1
- Ms. Kristin Elizabeth Holdt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004542 | CT | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526601600000",
"number": "1992080105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 E MAIN ST",
"address_2": "4TH FLOOR ADMINISTRATION",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067022310",
"telephone_number": "203-574-9000",
"fax_number": "203-574-9006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 E MAIN ST",
"address_2": "WATERBURY OP ADULT SERVICES",
"city": "WATERBURY",
"state": "CT",
"postal_code": "06702",
"telephone_number": "203-755-1143",
"fax_number": "203-753-3274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRACITTO",
"first_name": "KRISTIN",
"middle_name": "HOLDT",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-19",
"last_updated": "2018-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "004542",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHYCT WELLMORE GRP/FACILITY",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH/UNITED HEALTHCARE WELLMORE GRP/FACILITY",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEACON HEALTH STRATEGIES",
"identifier": "10450310 WATERBURY",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH/OXFORD FREEDOM/LIBERTY WELLMORE GRP/FACILITY",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTUM BEHAVIORAL HEALTH/UBH WELLMORE GRP/FACILITY",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH/CONNECTICARE WELLMORE GRP/FACILITY",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN TRICARENORTH",
"identifier": "574044 PENDING",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS OF CT WELLMORE GRP/FACILITY",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA BEHAVIORAL HEALTH WELLMORE GRP/FACILITY",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN MANAGED HEALTN NETWORK",
"identifier": "574044 PENDING",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13752330",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00803733",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "PENDING",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "HOLDT",
"middle_name": "ELIZABETH",
"prefix": "MS.",
"credential": "MSW, LCSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.