Individual provider Active NPI

Kannika Chap, LCSW

  • Clinical Social Worker
  • Norwalk, CT
National Provider Identifier
1043782717
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
58.013082 Issued in CT
Practice address
9 Mott Ave FL 4
Norwalk, CT 06850-3330
Phone
(203) 523-5367
NPI assigned
Dec 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 58.013082 CT Primary

Addresses

Primary practice location

9 Mott Ave FL 4
Norwalk, CT 06850-3330

Mailing address

9 Mott Ave FL 4
Norwalk, CT 06850-3330
Phone (203) 523-5367

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
I20241125000116 CT Practitioner - Clinical Social Worker 7113452442 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
58.013082CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family & Children'S Agency, Inc. CurrentSince Sep 13, 2024 Accepting new patients
Lynn Community Health, Inc. Past Accepting new patients

Locations

9 Mott Ave
Fl 4
Norwalk, CT 06850
Phone (203) 831-6301

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1043782717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MOTT AVE FL 4",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503330",
            "telephone_number": "203-523-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MOTT AVE FL 4",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503330",
            "telephone_number": "203-523-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAP",
        "first_name": "KANNIKA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-19",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "58.013082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.