Giovanna Maria Cammuso, LCSW
Individual provider Active NPI Clinical Social Worker · Cromwell, CT
NPI 1508090028 · NPPES record last updated Apr 24, 2012
Key facts
- NPI
- 1508090028
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 007744 (CT)
- Practice address
- 22 Tuttle Road
Cromwell, CT 06416 - Phone
- (860) 632-3235
- NPI assigned
- May 12, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
312 Main St
Southington, CT 06489-2508
Phone (860) 919-7136
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161220000937 | CT | Practitioner - Clinical Social Worker | 3779864335 | Practice locations: Southington, CT |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7744 | MA | MD | Counseling Psychologist |
| 007744 | CT | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | CT | ||
| Clinical Social Worker | 1041C0700X | 007744 | CT | Yes |
Addresses
Primary practice location
22 Tuttle Road
Cromwell, CT 06416
Mailing address
312 Main St
Southington, CT 06489-2508
Phone (860) 919-7136
Other providers in Cromwell, CT
- Mark Calixte
- Antoinette Callahan
- Daniela Calle
- Mirella Calle
- Sthefany Beatriz Calle
- Jacquiline Nicole Campbell
- Kara Candelori
- Emma Caitlin Carillo
- Stacy T Carlino
- Adrianne Julene Carter-Brown
All providers in Cromwell, 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 Apr 24, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.