Christen Susanne Carnes, MSW, LCSW

Key facts

NPI

1265284657

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Social Worker 1041C0700X

License

13619 (CT)

Practice address

38A Grove St Ste 101
Ridgefield, CT 06877-4664

Phone

(203) 896-8888

Fax

(203) 403-9550

NPI assigned

Apr 1, 2024

Sex

Female

Sole proprietor

No

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.

• Emh Family Services PC Marriage & Family Therapist · Fairfield, CT · NPI 1619611464
  Medicare reassignment Care Compare group NPD CT

Medicare Care Compare profile

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emh Family Services PC (27 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 26, 2024.

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1265284657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 OAKWOOD AVE APT 2",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068501344",
            "telephone_number": "203-979-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38A GROVE ST STE 101",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774664",
            "telephone_number": "203-896-8888",
            "fax_number": "203-403-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNES",
        "first_name": "CHRISTEN",
        "middle_name": "SUSANNE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "13619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marissa J Campbell, LMSW,MSW,BSW
• E Naomi Candullo
• Christine McVay Cannata, PA-C
• Roseann Capanna-Hodge, E.D.D
• Peter Carney, LCSW
• Nathan David Carpenter, LMFT
• Kenneth Eugene Caselnova III
• Megan Cazalet
• Melissa Cedrac

All providers in Ridgefield, CT · Clinical Social Worker in Connecticut