Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Katherine H Vivanco, EDM, MSW, LCSW

Individual provider Clinical Social Worker · NPI 1710189105

MS. Katherine H Vivanco, EDM, MSW, LCSW is a Clinical Social Worker in Stamford, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2007
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

2001 W Main St Ste 106B
Stamford, CT 06902-4501
Phone: (203) 321-9119
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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 7121 (CT)

Record details

NPI number1710189105
Entity typeIndividual (Type 1)
GenderFemale
Credentials EDM , MSW , LCSW
Sole proprietorYes
NPI enumeratedJune 5, 2007
Last updated in NPPESSeptember 4, 2009

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