Individual provider Active NPI

Carisa Eli Sanchez, LCSW, LADC, ICADC

  • Clinical Social Worker
  • Middlebury, CT
National Provider Identifier
1083363667
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15694 Issued in CT
Practice address
687 Straits Tpke Ste 1a
Middlebury, CT 06762-2846
Phone
(917) 397-6742
NPI assigned
Mar 22, 2022
Last updated
May 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 15694 CT Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1466 CT

Addresses

Primary practice location

687 Straits Tpke Ste 1a
Middlebury, CT 06762-2846

Mailing address

687 Straits Tpke Ste 1a
Middlebury, CT 06762-2846
Phone (917) 397-6742

Other practice location 1

56 Arbor St Ste 100
Hartford, CT 06106-1223
Phone (917) 397-6742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1466CTMDAddiction (Substance Use Disorder) Counselor
15694CTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1083363667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "687 STRAITS TPKE STE 1A",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067622846",
            "telephone_number": "917-397-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "687 STRAITS TPKE STE 1A",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067622846",
            "telephone_number": "917-397-6742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "56 Arbor St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061061223",
            "country_code": "US",
            "telephone_number": "917-397-6742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "CARISA",
        "middle_name": "ELI",
        "name_prefix": "Miss",
        "credential": "LCSW, LADC, ICADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-22",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "15694",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "1466",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.