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KIMBERLY GEREDA PSYCHOTHERAPY & SELF-CARE
NPI 1477002889
Social Worker - Clinical in New Haven, CT

Active since September 26, 2016
59 ELM ST, SUITE #500, NEW HAVEN, CT 06510(203) 525-4272 Get Directions Write a Review

NPPES record last updated: September 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Gereda Psychotherapy & Self-care NPPES

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

KIMBERLY GEREDA PSYCHOTHERAPY & SELF-CARE (NPI 1477002889) is a healthcare organization registered as a clinical in New Haven, Connecticut and active in the NPI registry since September 2016. The organization lists Kimberly Gereda, Owner Of Practice, as its authorized official.

NPPES Registry Identity

NPI1477002889
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameKIMBERLY GEREDA PSYCHOTHERAPY & SELF-CARE
Location Address59 ELM ST, SUITE #500New Haven, CT 06510-2047
Mailing Address59 Elm St, Suite #500New Haven, CT 06510-2047 · (203) 525-4272
Phone(203) 525-4272
Organization SubpartNo
Authorized OfficialKimberly GeredaOwner Of Practice · (203) 525-4272
Enumeration DateSeptember 26, 2016
✔ NPI 1477002889 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 · 007676
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.
59 ELM ST, New Haven, CT 06510
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Other Identifiers 1

Medicaid008067075CT

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 4

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

CHIROPRACTIC & WELLNESS CENTER OF NEW HAVEN
Chiropractor
59 ELM ST, 100
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 909-6173
CHRISTOPHER LYDDY
Social Worker (Clinical)
59 ELM ST, #500
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 364-7572
DR. ADAM JAY PONCHICK D.C.
Chiropractor
59 ELM ST, SUITE 110
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 909-6173
RICHARD JOSEPH RESTIFO MD
Specialist
59 ELM ST, SUITE 560
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 772-1444

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 Kimberly Gereda Psychotherapy & Self-Care's NPI number?

The NPI number for Kimberly Gereda Psychotherapy & Self-Care is 1477002889. It was assigned to this organization in the NPPES registry on September 26, 2016.

Where is Kimberly Gereda Psychotherapy & Self-Care located?

Kimberly Gereda Psychotherapy & Self-Care is located at 59 Elm St Suite #500, New Haven, CT 06510. The listed phone number is (203) 525-4272.

What is Kimberly Gereda Psychotherapy & Self-Care'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 Kimberly Gereda Psychotherapy & Self-Care was last updated on September 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.