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KATHLEEN ROACH-SEPERACK LCSW
NPI 1780155119
Social Worker - Clinical in Norwalk, CT

Active since December 11, 2018PECOS EnrolledAccepts Medicare Assignment
7-9 ISAAC ST, NORWALK, CT 06850(203) 673-9173 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 14, 2021, Jun 8, 2021, Dec 11, 2018 (3 updates tracked since 2018).

About Kathleen Roach-seperack Lcsw NPPES

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

KATHLEEN ROACH-SEPERACK LCSW (NPI 1780155119) is an individual clinical provider in Norwalk, Connecticut, licensed in Connecticut (006715) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1780155119
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHLEEN ROACH-SEPERACKCredential: LCSW
Location Address7-9 ISAAC STNorwalk, CT 06850-4102
Mailing Address235 Grovers AveBridgeport, CT 06605-3452 · (203) 673-9173
Phone(203) 673-9173
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateDecember 11, 2018
Last NPPES UpdateJune 14, 20213 updates tracked since enumeration
NPPES CertifiedJune 14, 2021
✔ NPI 1780155119 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 · 006715
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.
7-9 ISAAC ST, Norwalk, CT 06850
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Kathleen Roach-seperack 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 ID7113308370
PECOS Enrollment IDI20220719002225
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06850 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.

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 Kathleen Roach-seperack's NPI number?

The NPI number for Kathleen Roach-seperack is 1780155119. It was assigned to this individual provider in the NPPES registry on December 11, 2018.

Where is Kathleen Roach-seperack located?

Kathleen Roach-seperack practices at 7-9 Isaac St, Norwalk, CT 06850. The listed phone number is (203) 673-9173.

What is Kathleen Roach-seperack's specialty?

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

Is Kathleen Roach-seperack enrolled in Medicare?

Yes. Kathleen Roach-seperack 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.

What insurance does Kathleen Roach-seperack accept?

Health plans from Providence Health Plan list Kathleen Roach-seperack 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 Kathleen Roach-seperack was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.