Individual provider Active NPI

Nancy Carol Canata, LCSW

  • Clinical Social Worker
  • East Hartford, CT
National Provider Identifier
1518197441
Registry record updated Jul 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
003154 Issued in CT
Practice address
474 School St
East Hartford, CT 06108-1149
Phone
(860) 509-3780
Fax
(860) 509-3771
NPI assigned
Jul 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 003154 CT Primary

Addresses

Primary practice location

474 School St
East Hartford, CT 06108-1149

Mailing address

34 Sequassen St
234A
Hartford, CT 06106-2866
Phone (860) 509-3780

Other names 1

  • Nancy Carol Popko Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
003154CTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248652800000",
    "number": "1518197441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 SEQUASSEN ST",
            "address_2": "234A",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062866",
            "telephone_number": "860-509-3780",
            "fax_number": "860-509-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 SCHOOL ST",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061081149",
            "telephone_number": "860-509-3780",
            "fax_number": "860-509-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANATA",
        "first_name": "NANCY",
        "middle_name": "CAROL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-27",
        "last_updated": "2009-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "003154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "POPKO",
            "middle_name": "CAROL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; 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.