Active NPIIndividual providerSole proprietor

Kathleen Roach-Seperack, LCSW

Social Worker, Clinical in Norwalk, Connecticut

NPI Number1780155119
Practice location
7-9 Isaac St, Norwalk, CT 06850-4102
Fax
—
Last updated
June 14, 2021

Kathleen Roach-Seperack is a Social Worker, Clinical based in Norwalk, CT. Kathleen Roach-Seperack practices in Norwalk, CT and has the professional credentials of LCSW. The NPI Number for Kathleen Roach-Seperack is 1780155119 and holds a License No. 006715 (CT). The current practice location address for Kathleen Roach-Seperack is 7-9 Isaac St, Norwalk, CT 06850-4102 and can be reached out via phone at 203-673-9173.

Provider Profile Details

NPI Number
1780155119
Provider Name
Kathleen Roach-Seperack
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
7-9 Isaac St, Norwalk, CT 06850-4102
Phone Number
203-673-9173
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
December 11, 2018
Last Update Date
June 14, 2021
Certification Date
June 14, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
7-9 Isaac St
Norwalk, CT 06850-4102
Zip
06850-4102
Phone Number
203-673-9173
Norwalk, CT 06850Get directions →

Provider Business Mailing Address Details

Address
235 Grovers Ave
Bridgeport, CT 06605-3452
City
Bridgeport
State
CT
Zip
06605-3452
Phone Number
203-673-9173

License Information

License Number
006715
License State
CT
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Kathleen Roach-Seperack, LCSW?

The NPI number of Kathleen Roach-Seperack, LCSW is 1780155119. It was assigned on December 11, 2018 and is currently active in the NPPES registry.

What is the specialty of Kathleen Roach-Seperack, LCSW?

Kathleen Roach-Seperack, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 006715.

Where does Kathleen Roach-Seperack, LCSW practice?

The practice location is 7-9 Isaac St, Norwalk, CT 06850-4102. The office can be reached at 203-673-9173 (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 1780155119 directly on the NPPES registry website.

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