Healthcare Provider Details

I. General information

NPI: 1790027738
Provider Name (Legal Business Name): KATHERINE PIERSON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KATHERINE HOLLWITZ LMSW

II. Dates (important events)

Enumeration Date: 03/16/2013
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460C NAUGATUCK AVE
MILFORD CT
06460-5049
US

IV. Provider business mailing address

460C NAUGATUCK AVE
MILFORD CT
06460-5049
US

V. Phone/Fax

Practice location:
  • Phone: 203-951-1719
  • Fax: 475-313-1276
Mailing address:
  • Phone: 203-951-1719
  • Fax: 475-313-1276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number014351
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberP85827
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: