Penny Tavar, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10869 Issued in CT

Practice address

25 Church Hill Rd
Newtown, CT 06470-1639

Phone

(203) 988-6900

NPI assigned

Mar 28, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CT, MA2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Fordham University School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Meridian Psychotherapy Associates of Massachusetts LLC

  • Clinical Social Worker
  • Boston, MA
  • NPI 1619602000
  Medicare reassignment NPD Authorized official
• Meridian Psychotherapy Associates of Connecticut LLC

  • Clinical Social Worker
  • Newtown, CT
  • NPI 1225668650
  Medicare reassignment NPD
• Newtown Family Therapy

  • Clinical Social Worker
  • Newtown, CT
  • NPI 1366980781
  NPD (past)

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1053843318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3023",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064703023",
            "telephone_number": "203-988-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CHURCH HILL RD",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701639",
            "telephone_number": "203-988-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVAR",
        "first_name": "PENNY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10869",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "3415",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "penny@meridianpsychotherapy.com",
            "affiliation": "N",
            "address_1": "25 Church Hill Rd",
            "city": "Newtown",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064701639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Strong As a Mother LLC
• Madelyn Sumple
• Michael Andrew Svanda, MS, LADC
• Robert Szost, RPH
• Pamela B Tassiello, M.A, CCC/SLP
• Haley Everett Taylor, LAT, ATC
• Dennis Teeking, D.M.D.
• The Newtown Ambulance Association Inc
• The Stop & Shop Supermarket Company LLC
• This Grieving Life, LLC

• Clinical Social Worker in Newtown, CT
• Providers in Newtown, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.