Mary Kay Kittredge, LCSW
Social Worker, Clinical in Ellington, Connecticut
1144698473- Practice location
- 420 Somers RD, Ellington, CT 06029-2629
- Phone
- 860-255-4475
- Fax
- —
- Last updated
- August 22, 2023
Mary Kay Kittredge is a Social Worker, Clinical based in Ellington, CT. Mary Kay Kittredge practices in Ellington, CT and has the professional credentials of LCSW. The NPI Number for Mary Kay Kittredge is 1144698473 and holds a License No. 11879 (CT). The current practice location address for Mary Kay Kittredge is 420 Somers RD, Ellington, CT 06029-2629 and can be reached out via phone at 860-255-4475.
Provider Profile Details
- NPI Number
- 1144698473
- Provider Name
- Mary Kay Kittredge
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 420 Somers RD, Ellington, CT 06029-2629
- Phone Number
- 860-255-4475
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Other Names
- Mary Kay Burnett, LCSW (Former Name)
- Provider Enumeration Date
- September 3, 2015
- Last Update Date
- August 22, 2023
- Certification Date
- August 22, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 420 Somers RD
Ellington, CT 06029-2629 - City
- Ellington
- State
- Connecticut
- Zip
- 06029-2629
- Phone Number
- 860-255-4475
Provider Business Mailing Address Details
- Address
- 420 Somers RD
Ellington, CT 06029-2629 - City
- Ellington
- State
- CT
- Zip
- 06029-2629
- Phone Number
- 860-255-4475
License Information
- License Number
- 11879
- License State
- CT
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mary Kay Kittredge, LCSW?
The NPI number of Mary Kay Kittredge, LCSW is 1144698473. It was assigned on September 3, 2015 and is currently active in the NPPES registry.
What is the specialty of Mary Kay Kittredge, LCSW?
Mary Kay Kittredge, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 11879.
Where does Mary Kay Kittredge, LCSW practice?
The practice location is 420 Somers RD, Ellington, CT 06029-2629. The office can be reached at 860-255-4475 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144698473 directly on the NPPES registry website.