Individual provider Active NPI

Gustavo Nava, LCSW

  • Clinical Social Worker
  • Shelton, CT
National Provider Identifier
1174561096
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
004868 Issued in CT
Practice address
99 Kyles Way
Shelton, CT 06484-6611
Phone
(203) 449-5134
NPI assigned
Jun 3, 2006
Last updated
Oct 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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 004868 CT Primary

Addresses

Primary practice location

99 Kyles Way
Shelton, CT 06484-6611

Mailing address

99 Kyles Way
Shelton, CT 06484-6611
Phone (203) 449-5134

Other identifiers 1

IdentifierTypeStateIssuer
004227593MedicaidCT

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
I20061129000307 CT Practitioner - Clinical Social Worker 2062410004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yale New Haven HospitalGroup PAC ID 8325935018, 44 clinicians

Practice addresses (Care Compare)

20 York St
New Haven, CT 06510-3220
Phone (203) 688-2609

Merit-based Incentive Payment System (MIPS)

Final score
92.66 of 100Reported as group
Quality
98.16
Promoting interoperability
100
Improvement activities
40
Cost
44.02

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004868CTMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Yale New Haven Hospital CurrentSince Aug 9, 2015 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Past Accepting new patients
Catholic Charities, Inc. - Archdiocese of Hartford Past Accepting new patients
Atlantic Health Services PC Past Accepting new patients
Catholic Charities, Inc. - Archdioceseof Hartford Past Accepting new patients

Locations

184 Liberty St
New Haven, CT 06519
Phone (203) 688-9704

20 York St
North Haven, CT 06510
Phone (203) 688-2433

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/ccaoh/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1174561096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 KYLES WAY",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846611",
            "telephone_number": "203-449-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 KYLES WAY",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846611",
            "telephone_number": "203-449-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVA",
        "first_name": "GUSTAVO",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "004868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004227593",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

Verify at the official NPI Registry.