MEDICARE: KAITLIN E. SMITH LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	1041C0700X	Clinical Social Worker	11626	CT

General Provider Information

NPI Number	:	1609388867
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAITLIN E. SMITH LCSW

Provider Business Mailing Address
First Line	:	2389 MAIN ST STE 1
Second Line	:
City	:	GLASTONBURY
State	:	CT
Zip	:	06033-4617
Country	:	US
Telephone Number	:	860-629-0107
Fax Number	:	860-613-6297

Provider Business Practice Location Address
First Line	:	2389 MAIN ST STE 1
Second Line	:
City	:	GLASTONBURY
State	:	CT
Zip	:	06033-4617
Country	:	US
Telephone Number	:	860-629-0107
Fax Number	:	860-613-6297

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2017
Last Update Date	:	04/21/2023

Similar Medicare Providers

1003388919 — MRS. LAURA ELIZABETH GABRIEL APRN
Practice Location Address:

2389 MAIN ST STE 100
GLASTONBURY, CT
06033-4617

Practice Phone: 860-777-5829
Practice Fax:

1184956849 — JOANNE HUTT, PH.D., LLC
Practice Location Address:

2389 MAIN ST
GLASTONBURY, CT
06033-4617

Practice Phone: 860-918-4324
Practice Fax: 860-432-8330

1164736310 — FORTUNE BILLING SERVICES
Practice Location Address:

2389 MAIN ST
GLASTONBURY, CT
06033-4617

Practice Phone: 860-659-6553
Practice Fax:

1386990802 — KELLY PANAS PH.D.
Practice Location Address:

2389 MAIN ST STE 100
GLASTONBURY, CT
06033-4617

Practice Phone: 860-266-7872
Practice Fax:

1568904647 — WENDY LEVINE LPC
Practice Location Address:

2389 MAIN ST STE 100
GLASTONBURY, CT
06033-4617

Practice Phone: 201-452-7517
Practice Fax:

1316408545 — CCT CARE OF CT, LLC
Practice Location Address:

2389 MAIN ST
GLASTONBURY, CT
06033-4617

Practice Phone: 615-386-0064
Practice Fax:

Directions to “ KAITLIN E. SMITH LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.