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

Mr. Edwin G Taetsch, LCSW

Individual provider Clinical Social Worker · NPI 1164445581

Mr. Edwin G Taetsch, LCSW is a Clinical Social Worker in New London, Connecticut. Qualified in 1979, 47 years ago. Practices with Connecticut Behavioral Health Assoc PC, a 36-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut and Missouri.

Years since qualifying
47
Licensed in
CT, MO
In the registry since
2006
Specialties on file
2
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

21 Montauk Ave
New London, CT 06320-4906
Phone: (860) 439-6400
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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 9037 (CT)
Clinical Social Worker Taxonomy 1041C0700X · Licence 2002025562 (MO)

Record details

NPI number1164445581
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 26, 2006
Last updated in NPPESDecember 13, 2018

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Group practice Connecticut Behavioral Health Assoc Pc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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