Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathleen Roach-Seperack, LCSW

Individual provider Clinical Social Worker · NPI 1780155119

Kathleen Roach-Seperack, LCSW is a Clinical Social Worker in Norwalk, Connecticut. Qualified in 1994, 32 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
32
Licensed in
CT
In the registry since
2018
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

7-9 Isaac St
Norwalk, CT 06850-4102
Phone: (203) 673-9173
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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 006715 (CT)

Record details

NPI number1780155119
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 11, 2018
Last updated in NPPESJune 14, 2021
Certification dateJune 14, 2021
Mailing address235 Grovers Ave, Bridgeport, CT 06605-3452

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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