Individual provider Active NPI

Gerard Daniel Kane, MSW, C-CATODSW, LADC

  • Addiction (Substance Use Disorder) Counselor
  • New Milford, CT
National Provider Identifier
1023306552
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
000666 Issued in CT
Practice address
46 Danbury Rd
Suite 2
New Milford, CT 06776-3403
Phone
(860) 355-1122
Fax
(860) 355-1122
NPI assigned
Jul 19, 2011
Last updated
Jul 19, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 000666 CT Primary

Addresses

Primary practice location

46 Danbury Rd
Suite 2
New Milford, CT 06776-3403

Mailing address

46 Danbury Rd
Suite 2
New Milford, CT 06776-3403
Phone (860) 355-1122

Other names 1

  • Mr. Gerry Daniel Kane Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250703003610 CT Practitioner - Mental Health Counselor 6800320888 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000666CTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
South-West Community Health Center, Inc CurrentSince Apr 19, 2025 Accepting new patients

Locations

1046 Fairfield Ave
Bridgeport, CT 06605
Phone (203) 330-6054

46 Albion St
Bridgeport, CT 06605
Phone (203) 332-3155

510 Clinton Ave
Bridgeport, CT 06605
Phone (203) 366-4000

968 Fairfield Ave
Bridgeport, CT 06605

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311033600000",
    "number": "1023306552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 DANBURY RD",
            "address_2": "SUITE 2",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067763403",
            "telephone_number": "860-355-1122",
            "fax_number": "860-355-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 DANBURY RD",
            "address_2": "SUITE 2",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067763403",
            "telephone_number": "860-355-1122",
            "fax_number": "860-355-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "GERARD",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "MSW, C-CATODSW, LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "000666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GERRY",
            "last_name": "KANE",
            "middle_name": "DANIEL",
            "prefix": "MR.",
            "credential": "MSW,  C-CATODSW, LAD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Milford, CT

Sources for this page

Verify at the official NPI Registry.