1. Home
  2. Directory
  3. Connecticut
  4. New London
  5. Social Worker
  6. NPI Profile

MRS. KRISTIN ELIZABETH KICZUK LCSW
NPI 1548579253
Social Worker - Clinical in New London, CT

Active since September 29, 2010PECOS EnrolledAccepts Medicare Assignment
87.81/100
CMS Quality Rating
255 HEMPSTEAD ST, NEW LONDON, CT 06320(860) 443-2896(860) 442-5909 Get Directions Write a Review

NPPES record last updated: May 10, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kristin Elizabeth Kiczuk Lcsw NPPES

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

MRS. KRISTIN ELIZABETH KICZUK LCSW (NPI 1548579253) is an individual clinical provider in New London, Connecticut, licensed in Connecticut (9238) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1548579253
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. KRISTIN ELIZABETH KICZUKCredential: LCSW
Location Address255 HEMPSTEAD STNew London, CT 06320-6204
Mailing Address255 Hempstead StNew London, CT 06320-6204 · (860) 443-2896 · Fax (860) 442-5909
Phone(860) 443-2896
Fax(860) 442-5909
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 29, 2010
Last NPPES UpdateMay 10, 2017
✔ NPI 1548579253 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 · 9238
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.
255 HEMPSTEAD ST, New London, CT 06320
Open in Google Maps ↗

Other Names 1

Former Name (1)Miss Kristin Elizabeth Baker Lmsw

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kristin Elizabeth Kiczuk Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587922059
PECOS Enrollment IDI20171212000273
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
106 services16 patients
Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
46 services15 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
20 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06320 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.97
Improvement Activities40

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.

JENNA BAZZANO
Social Worker
255 HEMPSTEAD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 437-4550
PAMELA DAVIES MSW
Social Worker (Clinical)
255 HEMPSTEAD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 443-2896
PAULA MARTE MSW, LMSW
Social Worker (Clinical)
255 HEMPSTEAD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 437-4550
MR. JOSEPH PATRICK FEENEY BA
Community Health Worker
255 HEMPSTEAD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 443-2896
ERIN GORMAN BA
Social Worker
255 HEMPSTEAD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 443-2896
MS. CARISSA M FRICANO MSW
Social Worker (School)
255 HEMPSTEAD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-2797
LATANYA MANU MS, MFT
Marriage & Family Therapist
255 HEMPSTEAD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 443-2896
JONATHAN FIGUEROA MERCADO
Counselor (Mental Health)
255 HEMPSTEAD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 437-4550

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 Kristin Kiczuk's NPI number?

The NPI number for Kristin Kiczuk is 1548579253. It was assigned to this individual provider in the NPPES registry on September 29, 2010. The provider is also known as Miss Kristin Elizabeth Baker Lmsw.

Where is Kristin Kiczuk located?

Kristin Kiczuk practices at 255 Hempstead St, New London, CT 06320. The listed phone number is (860) 443-2896.

What is Kristin Kiczuk's specialty?

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

Is Kristin Kiczuk enrolled in Medicare?

Yes. Kristin Kiczuk is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kristin Kiczuk was last updated on May 10, 2017. 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.