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KATIE ANN MARIE CERVONE
NPI 1366226037
Social Worker - Clinical in New Canaan, CT

Active since August 23, 2023Opted out of Medicare · through Jun 9, 2028
208 VALLEY RD, NEW CANAAN, CT 06840(203) 801-3125 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Katie Ann Marie Cervone NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATIE ANN MARIE CERVONE (NPI 1366226037) is an individual clinical provider in New Canaan, Connecticut, licensed in Connecticut (012872) and active in the NPI registry since August 2023. He has opted out of Medicare through June 9, 2028.

NPPES Registry Identity

NPI1366226037
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKATIE ANN MARIE CERVONE
Location Address208 VALLEY RDNew Canaan, CT 06840-3899
Mailing Address85 Red Coach DrStratford, CT 06614-2238 · (203) 260-7847
Phone(203) 801-3125
Sole ProprietorYes
Enumeration DateAugust 23, 2023
NPPES CertifiedAugust 23, 2023
✔ NPI 1366226037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CT · 012872
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
208 VALLEY RD, New Canaan, CT 06840
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Katie Ann Marie Cervone has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 9, 2026 through June 9, 2028.

Opt-Out Effective DateJune 9, 2026
Opt-Out In Effect ThroughJune 9, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHEILA DUGGAN LCSW
Social Worker (Clinical)
208 VALLEY RD
NEW CANAAN, CT 06840
Western Connecticut Planning Region (203) 801-3401
CONNECTICUT BEHAVIORAL HEALTH AND THERAPEUTIC SERVICES
Psychiatry & Neurology (Psychiatry)
208 VALLEY RD
NEW CANAAN, CT 06840
Western Connecticut Planning Region (203) 801-2260
NICOLE CATHERINE COARSE LCSW
Social Worker (Clinical)
208 VALLEY RD
NEW CANAAN, CT 06840
Western Connecticut Planning Region (203) 801-3426
KENDALL GILBERT RN
Registered Nurse (Psychiatric/Mental Health)
208 VALLEY RD
NEW CANAAN, CT 06840
Western Connecticut Planning Region (203) 801-3122
OLIVIA PAULINE SACANE LMSW
Social Worker
208 VALLEY RD
NEW CANAAN, CT 06840
Western Connecticut Planning Region (866) 542-4455
MS. MADELINE LUISA MANDEVILLE LPC-A
Counselor
208 VALLEY RD
NEW CANAAN, CT 06840
Western Connecticut Planning Region (886) 542-4455
EMILY CALDERONE PSYD
Psychologist (Clinical)
208 VALLEY RD
NEW CANAAN, CT 06840
Western Connecticut Planning Region (203) 801-3154
MR. GEORGE JEFFREY MARCHESE LPC
Counselor (Mental Health)
208 VALLEY RD
NEW CANAAN, CT 06840
Western Connecticut Planning Region (917) 748-7430

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katie Ann Cervone's NPI number?

The NPI number for Katie Ann Cervone is 1366226037. It was assigned to this individual provider in the NPPES registry on August 23, 2023.

Where is Katie Ann Cervone located?

Katie Ann Cervone practices at 208 Valley Rd, New Canaan, CT 06840. The listed phone number is (203) 801-3125.

What is Katie Ann Cervone's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Katie Ann Cervone enrolled in Medicare?

No. Katie Ann Cervone has opted out of Medicare through June 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Katie Ann Cervone was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.