Individual provider Active NPI

Cristina P. Desousa, LCSW

  • Clinical Social Worker
  • Danbury, CT
National Provider Identifier
1225797335
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14434 Issued in CT
Practice address
16 Hospital Ave
Danbury, CT 06810-5927
Phone
(203) 778-2437
NPI assigned
Dec 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 6244 CT
Clinical Social Worker 1041C0700X 14434 CT Primary

Addresses

Primary practice location

16 Hospital Ave
Danbury, CT 06810-5927

Mailing address

16 Hospital Ave
Danbury, CT 06810-5927
Phone (203) 778-2437

Other practice location 1

152 West St
Danbury, CT 06810-3308
Phone (203) 791-5005

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
I20241217001640 CT Practitioner - Clinical Social Worker 5597292425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Apex Community Care IncGroup PAC ID 4688094063, 7 clinicians

Practice addresses (Care Compare)

16 Hospital Ave
Danbury, CT 06810-5927
Phone (203) 778-2437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6244CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Community Care, Inc CurrentSince Nov 6, 2024 Accepting new patients

Locations

85 West St
Danbury, CT 06810
Phone (203) 778-2437

30 West St
Danbury, CT 06810
Phone (203) 778-2437

16 Hospital Ave
Danbury, CT 06810
Phone (203) 730-2900

Organizations & group practices 1

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": "1639612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1225797335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HOSPITAL AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105927",
            "telephone_number": "203-778-2437",
            "fax_number": "203-885-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 HOSPITAL AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105927",
            "telephone_number": "203-778-2437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "152 West St",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068103308",
            "country_code": "US",
            "telephone_number": "203-791-5005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESOUSA",
        "first_name": "CRISTINA",
        "middle_name": "P.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-16",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "6244",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "14434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.