Kathryn Blair, L.C.S.W.
Social Worker, Clinical in Southington, CT. Individual provider (NPI-1).
NPI number1659627461
StatusActive
Last updated in NPPESNov 15, 2015
Details
- NPI
- 1659627461
- Entity type
- Individual (NPI-1)
- Name
- Ms. Kathryn Blair
- Credential
- L.C.S.W.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 30, 2012
- Last updated
- Nov 15, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 009240 | CT | Yes |
Practice location
1131 West StBuilding 1, Suite 3
Southington, CT 06489-6006
Phone 860-508-2274
Mailing address
9 Sunrise TerPlainville, CT 06062-1841
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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