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

Kathleen Cervantes, LCSW

Individual provider Clinical Social Worker · NPI 1134004583

Kathleen Cervantes, LCSW is a Clinical Social Worker in Greenwich, Connecticut. Qualified in 2023, 3 years ago. Licensed in Connecticut.

Years since qualifying
3
Licensed in
CT
In the registry since
2025
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

67 Holly Hill Ln Ste 102
Greenwich, CT 06830-6072
Phone: (203) 622-1881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 15649 (CT)

Record details

NPI number1134004583
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 6, 2025
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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