Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mrs. Kristin Elizabeth Kiczuk, LCSW

Individual provider Clinical Social Worker · NPI 1548579253

Mrs. Kristin Elizabeth Kiczuk, LCSW is a Clinical Social Worker in New London, Connecticut. Qualified in 2011, 15 years ago. Practices with Gaylord Hospital, Inc, a 39-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
15
Licensed in
CT
In the registry since
2010
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

255 Hempstead St
New London, CT 06320-6204
Phone: (860) 443-2896
Fax: (860) 442-5909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 9238 (CT)

Record details

NPI number1548579253
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 29, 2010
Last updated in NPPESMay 10, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Gaylord Hospital, Inc. — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients22
Services billed 197 a service is one billed item, such as a visit, a test or a procedure
Average patient age65

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Also affiliated with 1 long-term care hospital, which CMS identifies by certification number only.

Colleagues at Gaylord Hospital, Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 39 clinicians in the practice; 12 are shown here.

Other providers in New London