Ava Marie Hart, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007961 Issued in CT

Practice address

51 Broad St
Family Advocacy Program
Middletown, CT 06457-3204

Phone

(860) 358-4825

Fax

(860) 358-3403

NPI assigned

Sep 13, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ava Marie Holman Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• A.M. Hart Parenting Consulting LLC

  • Community/Behavioral Health Agency
  • Middletown, CT
  • NPI 1578937470
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1275883613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 BROAD ST",
            "address_2": "FAMILY ADVOCACY PROGRAM",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573204",
            "telephone_number": "860-358-4825",
            "fax_number": "860-358-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 BROAD ST",
            "address_2": "FAMILY ADVOCACY PROGRAM",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573204",
            "telephone_number": "860-358-4825",
            "fax_number": "860-358-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "AVA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT LCSW LIC #",
            "identifier": "007961",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AVA",
            "last_name": "HOLMAN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Harkin, M.D.
• Charles C Harpin Jr., LCSW
• Grace Harrington, LPC
• Russell John Harrington, LCSW
• Atia N Hart, LMSW
• Colin Hart, M.D.
• Eric Hartfield
• Taylor Harton
• Janell Harvey-Jefferson
• Lindsay Harvey, PHD

• Clinical Social Worker in Middletown, CT
• Providers in Middletown, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.