Individual provider Active NPI

Charles Coretto Jr., LCSW

  • Clinical Social Worker
  • Danbury, CT
National Provider Identifier
1124145727
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007239 Issued in CT
Practice address
405 Main St
Danbury, CT 06810-4710
Phone
(203) 748-0848
Fax
(120) 378-8188
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 007239 CT
Clinical Social Worker 1041C0700X 007239 CT Primary

Addresses

Primary practice location

405 Main St
Danbury, CT 06810-4710

Mailing address

405 Main St
Danbury, CT 06810-4710
Phone (203) 748-0848

Other identifiers 1

IdentifierTypeStateIssuer
008003522MedicaidCT

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
I20141125001282 CT Practitioner - Clinical Social Worker 0840512075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Charities of Fairfield County IncGroup PAC ID 8527955970, 7 clinicians

Practice addresses (Care Compare)

405 Main St
Danbury, CT 06810-4710
Phone (203) 743-4412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007239CTMDClinical Social Worker
7239CTMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Docplus, PLLC Current Accepting new patients

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1124145727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 MAIN ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104710",
            "telephone_number": "203-748-0848",
            "fax_number": "120-378-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 MAIN ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104710",
            "telephone_number": "203-748-0848",
            "fax_number": "120-378-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORETTO",
        "first_name": "CHARLES",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "007239",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008003522",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.