Nicole Antaya, LCSW
Individual provider Active NPI Clinical Social Worker · Westport, CT
NPI 1225834872 · NPPES record last updated Feb 24, 2025
Key facts
- NPI
- 1225834872
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 14680 (CT)
- Practice address
- 179 Post Rd W
Westport, CT 06880-4602 - Phone
- (203) 450-4882
- NPI assigned
- Feb 24, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14680 | CT | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 14680 | CT | Yes |
Addresses
Primary practice location
179 Post Rd W
Westport, CT 06880-4602
Mailing address
179 Post Rd W
Westport, CT 06880-4602
Phone (203) 450-4882
Other providers in Westport, CT
- Shweta Amin
- Tamela Mina Amiri
- Susan M Amster
- Amy Young LCSW - PLLC
- Catharine Lyndsay Andrews
- Nina Katherine Antonov
- Timothy M Aquino
- Ellen Arcamone
- Neha Armstrong
- Nancy Yvonne Arndt
All providers in Westport, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.