KERRIE FISETTE (LCSW) – Mental Health Counselor, NPI 1831260579

KERRIE FISETTE (LCSW) is a healthcare provider. based in New london, Connecticut. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 5037 (CT). The NPI Number for KERRIE FISETTE (LCSW) is 1831260579

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
KERRIE FISETTE (LCSW)
NPI
1831260579
Phone
(860) 442-0711
Address
365 MONTAUK AVE
Enumeration Date
13 November 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8604444739
Graduation Year
1999 (27 years ago)
PAC ID
1052340320
Group Practice PAC ID
1254233836
Professional Enrollment ID
I20050808000020
Address ID
CT063204700NE365XXAVEX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,153 CLINICAL SOCIAL WORKER in CT

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Provider Addresses for KERRIE FISETTE (LCSW)

  • Lawrence+Memorial Hospital, 365, Montauk Avenue, Montauk Avenue Historic District, New London, New London County, Connecticut, 06320, United States

    NEW LONDON, CT 063204700

    Phone: (860) 442-0711

    Fax: (860) 444-4767

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-08-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050808000020IClinical Social WorkerCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90839Psychotherapy for crisis, first hour3127$0
90840Psychotherapy for crisis, each additional 30 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 06320)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254233836View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology)CT
-CT
-CT
Internal MedicineNJ
Hospitalist, Internal MedicineCT
-CT
-CT
Internal MedicineCT
Nurse PractitionerCT
Physician AssistantCT

Reviews

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Frequently asked questions

Does KERRIE FISETTE (LCSW) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KERRIE FISETTE (LCSW) uses 1831260579.
Is KERRIE FISETTE (LCSW) listed as active for patients and plans?
The listing shows KERRIE FISETTE (LCSW) as active in the NPI system.
What healthcare role does KERRIE FISETTE (LCSW) hold?
Scheduling teams often label KERRIE FISETTE (LCSW) under Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What area does KERRIE FISETTE (LCSW) serve?
KERRIE FISETTE (LCSW)'s listing highlights New London, Connecticut; more addresses can appear in NPPES.
Is the information about KERRIE FISETTE (LCSW) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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