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

Kathryn Elaine Roosevelt, LCSW

Individual provider Clinical Social Worker · NPI 1467894055

Kathryn Elaine Roosevelt, LCSW is a Clinical Social Worker in Groton, Connecticut. Qualified in 2009, 17 years ago. Accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
17
Licensed in
CT
In the registry since
2013
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

21 Chicago Ave
Groton, CT 06340-4907
Phone: (800) 526-3485
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 8260 (CT)

Record details

NPI number1467894055
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 23, 2013
Last updated in NPPESJuly 23, 2013

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Groton