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MS. KATHERINE H VIVANCO EDM, MSW, LCSW
NPI 1710189105
Social Worker - Clinical in Stamford, CT

Active since June 05, 2007
2001 W MAIN ST, SUITE 106B, STAMFORD, CT 06902(203) 321-9119 Get Directions Write a Review

NPPES record last updated: September 4, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Katherine H Vivanco Edm, Msw, Lcsw NPPES

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

MS. KATHERINE H VIVANCO EDM, MSW, LCSW (NPI 1710189105) is an individual clinical provider in Stamford, Connecticut, licensed in Connecticut (7121) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1710189105
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KATHERINE H VIVANCOCredential: EDM, MSW, LCSW
Location Address2001 W MAIN ST, SUITE 106BStamford, CT 06902-4501
Mailing Address2001 W Main St, Suite 106bStamford, CT 06902-4501 · (203) 321-9119
Phone(203) 321-9119
Sole ProprietorYes
Enumeration DateJune 5, 2007
Last NPPES UpdateSeptember 4, 2009
✔ NPI 1710189105 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 · 7121
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.
2001 W MAIN ST, Stamford, CT 06902
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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.

LEIF O NORDBERG MD, LLC
Clinic/Center (Ambulatory Surgical)
2001 W MAIN ST, SUITE 155
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 324-4700
MR. LORENZO JOHN MUNROE LCSW
Social Worker (Clinical)
2001 W MAIN ST, SUITE 106E
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 363-0560
NICOLAS ANDRES AMARANTE DE NAPOLI PA-C
Physician Assistant
2001 W MAIN ST
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 874-3682
JANNETTE STERN JANNETTE STERN, LCSW
Social Worker (Clinical)
2001 W MAIN ST, SUITE 106B
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 353-8446
PHILEASE J MARTIN
Physician Assistant (Medical)
2001 W MAIN ST
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 658-8291
BETH O'DONNELL, PH.D. LLC
Psychologist (Clinical)
2001 W MAIN ST, SUITE 106G
STAMFORD, CT 06902
Western Connecticut Planning Region (917) 992-8943
MUNROETHERAPIES & CONSULTATION, P.C.
Community/Behavioral Health
2001 W MAIN ST
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 363-0560
JOSEPH LANCTOT FNP-C
Nurse Practitioner (Family)
2001 W MAIN ST
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 658-8291

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 Vivanco's NPI number?

The NPI number for Katherine Vivanco is 1710189105. It was assigned to this individual provider in the NPPES registry on June 5, 2007.

Where is Katherine Vivanco located?

Katherine Vivanco practices at 2001 W Main St Suite 106B, Stamford, CT 06902. The listed phone number is (203) 321-9119.

What is Katherine Vivanco'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 Katherine Vivanco was last updated on September 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.