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: July 19, 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
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

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dentist (General Practice)
2001 W MAIN ST, STE 110
STAMFORD, CT 06902
Social Worker (Clinical)
2001 W MAIN ST, SUITE 106B
STAMFORD, CT 06902
Social Worker (Clinical)
2001 W MAIN ST, SUITE 106E
STAMFORD, CT 06902
Social Worker (Clinical)
2001 W MAIN ST, SUITE 106B
STAMFORD, CT 06902
Social Worker (Clinical)
2001 W MAIN ST, SUITE 106E
STAMFORD, CT 06902
Counselor (Professional)
2001 W MAIN ST, SUITE 140
STAMFORD, CT 06902
Physical Therapist
2001 W MAIN ST, SUITE 132
STAMFORD, CT 06902
Community/Behavioral Health
2001 W MAIN ST
STAMFORD, CT 06902
Occupational Therapist (Pediatrics)
2001 W MAIN ST, SUITE #135
STAMFORD, CT 06902
Emergency Medicine
2001 W MAIN ST, #100
STAMFORD, CT 06902
Pediatrics
2001 W MAIN ST, SUITE 132
STAMFORD, CT 06902
Physician Assistant (Medical)
2001 W MAIN ST
STAMFORD, CT 06902
Clinic/Center (Ambulatory Surgical)
2001 W MAIN ST, SUITE 155
STAMFORD, CT 06902
Clinic/Center
2001 W MAIN ST, SUITE 150
STAMFORD, CT 06902
Psychologist (Clinical)
2001 W MAIN ST, SUITE 106G
STAMFORD, CT 06902
Pediatrics
2001 W MAIN ST, SUITE 132
STAMFORD, CT 06902
Clinic/Center (Ambulatory Surgical)
2001 W MAIN ST
STAMFORD, CT 06902
Chiropractor
2001 W MAIN ST, SUITE 100D
STAMFORD, CT 06902
Nurse Practitioner (Family)
2001 W MAIN ST
STAMFORD, CT 06902
Pediatrics
2001 W MAIN ST
STAMFORD, CT 06902

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710189105, enumerated as an "individual" on June 05, 2007.

The provider is located at 2001 W MAIN ST SUITE 106B STAMFORD, CT 06902 and the phone number is (203) 321-9119.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.