Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225678915 Individual Practitioner Female Practitioner

Kristen Stack , LCSW

Social Worker - Clinical • Middletown, CT

Professional Overview & Biography Verified Profile Summary

Kristen Stack, LCSW is a registered healthcare professional specializing in Social Worker - Clinical in Middletown, CT. Practice services are available at 675 MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

675 Main St

Middletown, CT 064572732

Telephone 8603476971
Associated Practice Facility / Clinic
🏢 Community Health Center Inc Facility NPI 1952591851

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Middletown, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
233 Specialists

Practicing in Middletown, CT (7959 Statewide)

Telehealth Adoption Rate
3.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-09-18
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License CT 13133

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.

Social Worker

NUCC Taxonomy Code: 104100000X

State License CT 5051

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Secondary Practice Locations

370 Linwood St

New Britain, CT 060521949

Phone: 8602249113

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Kent Sunderland , PsyD

Psychologist - Clinical

NPI 1003263245

Doctor of Psychology (Psy.D.)

NPI 1013051440

Licensed Clinical Social Worker

Michael Lauro , LADC

Counselor - Addiction (Substance Use Disorder)

NPI 1023530789

Licensed Alcohol and Drug Counselor

NPI 1033187539

Master of Social Work

Lisbeth Greist , LCSW, LPCA

Social Worker - Clinical

NPI 1043958978

Licensed Clinical Social Worker, LPCA

NPI 1063418218

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location September 18, 2023

Registered at 675 MAIN ST, MIDDLETOWN, CT 064572732 (Tel: 8603476971)

👤
Provider Name / Credentials Updated September 18, 2023

Recorded as KRISTEN STACK, LCSW

NPI Profile Active January 09, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location January 09, 2020

Registered at 370 LINWOOD ST, NEW BRITAIN, CT 060521949 (Tel: 8602249113)

📍
Updated Business Mailing Address January 09, 2020

Registered at 685 FARMINGTON AVE, BERLIN, CT 060371350

👤
Provider Name / Credentials Updated January 09, 2020

Recorded as KRISTEN STACK, LMSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2020

Social Worker (License #5051 in CT)

🟢
Initial NPI Registration & Enumeration January 09, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225678915
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 09, 2020
Last Update: September 18, 2023
Sole Proprietor: No

Mailing Address

685 Farmington Ave

Berlin, CT 060371350

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.