Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jyll Robin Herzog Souto, LCSW

Individual provider Social Worker · NPI 1104830892

Jyll Robin Herzog Souto, LCSW is a Social Worker in Stratford, Connecticut. Licensed in Connecticut. Registered with an NPI since 2006.

Licensed in
CT
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

305 Boston Ave
Stratford, CT 06614-5246
Phone: (203) 384-3377
Fax: (203) 378-8578
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 104100000X-SOCIAL WO (CT)

Record details

NPI number1104830892
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 28, 2006
Last updated in NPPESJuly 8, 2007

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