Kairos Therapy Center LLC
NPI 1407481112ActiveOrganization· Social Worker, Clinical· Mystic, CT
Social Worker, Clinical in Mystic, Connecticut, registered in NPPES in March 2020. The authorized official on file is Jessica Sormrude, MED, LCSW, Owner.
Overview
| NPI | 1407481112 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 3, 2020 |
| Last updated in NPPES | Jun 8, 2020 |
| Certified by provider | Jun 8, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 30 clinical social workers in Mystic · All clinical social workers in Connecticut