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

Kathleen Watanabe, LCSWLADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1518079730

Kathleen Watanabe, LCSWLADC is a Clinical Social Worker in Middletown, Connecticut. Qualified in 1995, 31 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
31
Licensed in
CT
In the registry since
2006
Specialties on file
2

Practice location Address checks out

154 College St
Middletown, CT 06457
Phone: (860) 347-8894
Fax: (860) 346-2405
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 00039 (CT)
Clinical Social Worker Taxonomy 1041C0700X · Licence 004228 (CT)

Record details

NPI number1518079730
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWLADC
Sole proprietorNo
NPI enumeratedSeptember 1, 2006
Last updated in NPPESSeptember 11, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Middletown