KATHERINE MICHELLE JIMENEZ LCSW
NPI 1689159956
Social Worker - Clinical in Middletown, CT

Active since October 02, 2018Opted out of Medicare · through Sep 8, 2026
515 CENTERPOINT DR STE 223, MIDDLETOWN, CT 06457(203) 819-0233 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 1, 2023, Oct 2, 2018 (2 updates tracked since 2018).

About Katherine Michelle Jimenez Lcsw NPPES

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

KATHERINE MICHELLE JIMENEZ LCSW (NPI 1689159956) is an individual clinical provider in Middletown, Connecticut, licensed in Connecticut (10476) and active in the NPI registry since October 2018. She has opted out of Medicare through September 8, 2026.

NPPES Registry Identity

NPI1689159956
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHERINE MICHELLE JIMENEZCredential: LCSW
Location Address515 CENTERPOINT DR STE 223Middletown, CT 06457-7570
Mailing Address515 Centerpoint Dr Ste 223Middletown, CT 06457-7570 · (203) 819-0233
Sole ProprietorYes
Enumeration DateOctober 2, 2018
Last NPPES UpdateNovember 1, 20232 updates tracked since enumeration
NPPES CertifiedNovember 1, 2023
NPI 1689159956 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 · 10476
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.
515 CENTERPOINT DR STE 223, Middletown, CT 06457

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Katherine Michelle Jimenez Lcsw 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 September 8, 2024 through September 8, 2026.

Opt-Out Effective DateSeptember 8, 2024
Opt-Out In Effect ThroughSeptember 8, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
515 CENTERPOINT DR STE 223
MIDDLETOWN, CT 06457

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 Katherine Jimenez's NPI number?

The NPI number for Katherine Jimenez is 1689159956. It was assigned to this individual provider in the NPPES registry on October 2, 2018.

Where is Katherine Jimenez located?

Katherine Jimenez practices at 515 Centerpoint Dr Ste 223, Middletown, CT 06457. The listed phone number is (203) 819-0233.

What is Katherine Jimenez's specialty?

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

Is Katherine Jimenez enrolled in Medicare?

No. Katherine Jimenez has opted out of Medicare through September 8, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Katherine Jimenez accept?

Health plans from Providence Health Plan list Katherine Jimenez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katherine Jimenez was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.