Provider Demographics
NPI:1437978582
Name:SABATH, KATHRYN G (LMSW)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:G
Last Name:SABATH
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:JANE
Other - Last Name:GRAMIGNA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:60 WOOD RD
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CT
Mailing Address - Zip Code:06896-1618
Mailing Address - Country:US
Mailing Address - Phone:914-552-4574
Mailing Address - Fax:
Practice Address - Street 1:4 OXFORD RD STE B6
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-3819
Practice Address - Country:US
Practice Address - Phone:203-951-9949
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT99071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical