IndividualActive
Kristi Ivezaj, LMSW
NPI 1861010753 · Social Worker · Southport, CT
Provider details
- NPI number
- 1861010753
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- No
- License
- 5253 (CT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2960 Post Rd Fl 3
Southport, CT 06890-1268
Phone: (203) 307-3030
Street-level locationGet directions
Mailing address
63 Fitch Ln
New Canaan, CT 06840-5052
Registry dates
- Enumerated
- 2020-07-08
- Last updated
- 2020-07-08
- Certified
- 2020-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.