Healthcare Provider Details

I. General information

NPI: 1134056484
Provider Name (Legal Business Name): KATHERINE A KRAUS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 HOLLY HILL LN FL 3
GREENWICH CT
06830-6098
US

IV. Provider business mailing address

39 HASSAKE RD
OLD GREENWICH CT
06870-1329
US

V. Phone/Fax

Practice location:
  • Phone: 203-792-0400
  • Fax:
Mailing address:
  • Phone: 203-273-1181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number16794
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: