Active NPI
Gerard Daniel Kane, MSW, C-CATODSW, LADC
- Addiction (Substance Use Disorder) Counselor
- New Milford, CT
National Provider Identifier
1023306552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 000666
- 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
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000666 | CT | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South-West Community Health Center, Inc | Current | Accepting new patients |
Locations
968 Fairfield Ave
Bridgeport, CT 06605
46 Albion St
Bridgeport, CT 06605
Phone (203) 332-3155
1046 Fairfield Ave
Bridgeport, CT 06605
Phone (203) 330-6054
510 Clinton Ave
Bridgeport, CT 06605
Phone (203) 366-4000
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bridgeport, CT
- NPI 1699703686
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.