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

Individual provider Clinical Social Worker · NPI 1548579253

Mrs. Kristin Elizabeth Kiczuk, LCSW is a Clinical Social Worker in New London, Connecticut. Qualified in 2011, 15 years ago. Practices with Gaylord Hospital, Inc, a 39-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
15
Licensed in
CT
In the registry since
2010
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

255 Hempstead St
New London, CT 06320-6204
Phone: (860) 443-2896
Fax: (860) 442-5909
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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 9238 (CT)

Record details

NPI number1548579253
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 29, 2010
Last updated in NPPESMay 10, 2017

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Gaylord Hospital, Inc. — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in New London