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KAIROS THERAPY CENTER LLC
NPI 1407481112
Social Worker - Clinical in Mystic, CT

Active since March 03, 2020
11 MAIN ST STE 3G, MYSTIC, CT 06355(860) 303-3777 Get Directions Write a Review

NPPES record last updated: June 8, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 8, 2020, May 14, 2020, Mar 3, 2020 (3 updates tracked since 2020).

About Kairos Therapy Center Llc NPPES

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

KAIROS THERAPY CENTER LLC (NPI 1407481112) is a healthcare organization registered as a clinical in Mystic, Connecticut and active in the NPI registry since March 2020. The organization lists Jessica Sormrude, Owner, as its authorized official.

NPPES Registry Identity

NPI1407481112
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameKAIROS THERAPY CENTER LLC
Location Address11 MAIN ST STE 3GMystic, CT 06355-3654
Mailing Address11 Main St Ste 3gMystic, CT 06355-3654
Phone(860) 303-3777
Organization SubpartNo
Authorized OfficialJessica SormrudeOwner · (860) 303-3777
Enumeration DateMarch 3, 2020
Last NPPES UpdateJune 8, 20203 updates tracked since enumeration
NPPES CertifiedJune 8, 2020
✔ NPI 1407481112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
11 MAIN ST STE 3G, Mystic, CT 06355
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MS. JESSICA W. SORMRUDE MED, LCSW
Social Worker (Clinical)
11 MAIN ST STE 3G
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 889-8346

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 Kairos Therapy Center LLC's NPI number?

The NPI number for Kairos Therapy Center LLC is 1407481112. It was assigned to this organization in the NPPES registry on March 3, 2020.

Where is Kairos Therapy Center LLC located?

Kairos Therapy Center LLC is located at 11 Main St Ste 3G, Mystic, CT 06355. The listed phone number is (860) 303-3777.

What is Kairos Therapy Center LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Kairos Therapy Center LLC was last updated on June 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.