Individual provider · Type 1 NPI

Kathryn Elaine Roosevelt, LCSW

Clinical Social Worker · Groton, CT

NPI number 1467894055 Active

Practice location

21 Chicago Ave
Groton, CT 06340-4907

Mailing address

35 Mile Creek Rd, Apt 3D
Old Lyme, CT 06371-1712

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X8260 (CT)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1467894055

Kathryn Elaine Roosevelt, LCSW's National Provider Identifier is 1467894055, issued on Jul 23, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Groton, CT. The record was last updated on Jul 23, 2013.