Caryn Elizabeth Ganun, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007011 Issued in CT

Practice address

51 Broad St
Middletown, CT 06457-3204

Phone

(860) 358-3401

Fax

(860) 358-3403

NPI assigned

Nov 15, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1447594593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 BROAD ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573204",
            "telephone_number": "860-358-3401",
            "fax_number": "860-358-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 BROAD ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573204",
            "telephone_number": "860-358-3401",
            "fax_number": "860-358-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANUN",
        "first_name": "CARYN",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC #",
            "identifier": "007011",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Gaffey, MS CCC A
• Daniel William Gallagher, RPH
• David S Gallo, MD
• Jacqueline S Galloway
• Eric Gambardella, DO
• Samantha Garabedian, APRN
• Juliann Garcia
• Ericka Gardener, APRN
• Colleen Gardner, MD
• Christine Rizzo Gasstrom, M.S. L.AC. C.H.

• 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 Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.