Individual provider Active NPI

Lisa Navarra, LICSW

  • Clinical Social Worker
  • East Haven, CT
National Provider Identifier
1386977890
Registry record updated Apr 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
6 Manor Rd
East Haven, CT 06512-1215
Phone
(781) 267-9464
NPI assigned
Sep 15, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

6 Manor Rd
East Haven, CT 06512-1215

Mailing address

6 Manor Rd
East Haven, CT 06512-1215
Phone (781) 267-9464

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
I20170207001078 CT Practitioner - Clinical Social Worker 5193863397 Reassigns benefits to 3 organizations
Practice locations: East Haven, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6 Manor Rd
East Haven, CT 06512-1215
Phone (781) 267-9464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health and Wellness Solutions of CT, LLC Clinical CurrentSince Dec 11, 2017 Accepting new patients
Sunrise Psychological Services LLC Single Specialty CurrentSince Dec 19, 2018 Accepting new patients
Step Up Care PC LLC Single Specialty CurrentSince Apr 22, 2019 Accepting new patients

Locations

2911 Dixwell Ave
Ste 202B
Hamden, CT 06518
Phone (203) 399-6071

3013 Dixwell Ave
Hamden, CT 06518
Phone (203) 399-6071

55 Grand St
New Britain, CT 06052
Phone (845) 459-5767

181 Clifton St
New Haven, CT 06513
Phone (203) 467-1666

163 Quinnipiac Ave
North Haven, CT 06473
Phone (203) 624-3303

310 Terrace Ave
West Haven, CT 06516
Phone (203) 654-2100

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 3

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": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1386977890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MANOR RD",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065121215",
            "telephone_number": "781-267-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MANOR RD",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065121215",
            "telephone_number": "781-267-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVARRA",
        "first_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-15",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Haven, CT

Sources for this page

Verify at the official NPI Registry.