KATHLEEN ROACH-SEPERACK (NPI# 1780155119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780155119 |
| Entity Type | Individual |
| Full Name | KATHLEEN ROACH-SEPERACK |
| Credential | LCSW |
| Practice Address |
7-9 Isaac St Norwalk CT 06850-4102 |
| Mailing Address |
235 Grovers Ave Bridgeport CT 06605-3452 |
| Practice Telephone | 2032600226 |
| Mailing Telephone | 2033355470 |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2018-12-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
006715 | CT | Behavioral Health & Social Service Providers |
| Street Address |
7-9 ISAAC ST |
| City | NORWALK |
| State | CT |
| Zip Code | 06850-4102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497105092 | Brightview Norwalk, LLC | Alzheimer Center (Dementia Center) | 162 New Canaan Ave., Norwalk, CT 06850 | 2016-06-15 |
| 1518321306 | Megan Yee | Social Worker | 54 W. Norwalk Road, Norwalk, CT 06850 | 2016-04-08 |
| 1992129886 | Alicia Collen Zeidan | Nurse Practitioner | 10 Mott Ave Ste 2a, Norwalk, CT 06850 | 2014-02-12 |
| 1306194642 | Diane Beth Weiss | Specialist | 12 Rae Lane, Norwalk, CT 06850 | 2012-08-16 |
| 1538491170 | Thomas C. Santaniello | Dentist | 16 River Street, Norwalk, CT 06850 | 2010-02-08 |
| 1720226988 | Kathleen F Dayton | Counselor | 4 Berkeley Street, Super Kids, Norwalk, CT 06850 | 2009-01-27 |
| 1578716783 | Helen B. Mccue | Social Worker | 9 Mott Avenue, Family and Children's Agency, Norwalk, CT 06850 | 2008-10-31 |
| 1609900497 | James Schumacher | Physician Assistant | Maple Avenue, Norwalk, CT 06850 | 2007-03-15 |
| 1134270002 | Neelam Narula | Nurse Practitioner | 34 Maple St Ste J, Norwalk, CT 06850 | 2007-01-16 |
| 1669559951 | Patricia Jorquera | Pediatrics | 10 Mott Avenue, 4th Floor, Norwalk, CT 06850 | 2006-11-01 |
| Find all providers in zip 06850 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659979805 | Samantha Yurman | Social Worker | 100 Richards Ave Apt 309, Norwalk, CT 06854-1632 | 2020-10-10 |
| 1285251843 | Marissa Morgan | Social Worker | 9 Mott Ave Ste 410, Norwalk, CT 06850-3357 | 2020-06-30 |
| 1669098141 | Margaret Oconnell | Social Worker | 19 Richmond Hill Rd, Norwalk, CT 06854-2515 | 2020-06-22 |
| 1356986442 | Paris Johnson | Social Worker | 19 Harriet St, Norwalk, CT 06851-3604 | 2019-11-12 |
| 1629639794 | Anchored Hope Therapy, Licensed Clinical Social Worker | Social Worker | 11255 Fairford Ave, Norwalk, CA 90650-7630 | 2019-06-27 |
| 1699245597 | Jeanne Carrillo | Social Worker | 2 Twin Pond Dr, Norwalk, CT 06850-1432 | 2018-12-04 |
| 1164902169 | Megan Marie Kuchta | Social Worker | 142 East Ave, Norwalk, CT 06851-5742 | 2018-08-19 |
| 1023508629 | Mcallister Psychiatry & Psychotherapy, LLC | Social Worker | 69 East Ave Ste 2, Norwalk, CT 06851-4904 | 2018-05-18 |
| 1467959981 | Gail Paige-bowman | Social Worker | 185 Rowayton Woods Dr., Norwalk, CT 06854 | 2018-04-11 |
| 1740790062 | Jessica Brooke Richards | Social Worker | 10 Mott Ave Ste 3a, Norwalk, CT 06850-3320 | 2017-10-02 |
| Find all providers in NORWALK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.