Kristi Lee Cavallo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007977 Issued in CT

Practice address

64 Robbins St
Waterbury, CT 06708-2613

Phone

(203) 573-6103

Fax

(203) 573-7240

NPI assigned

May 14, 2013

Last updated

May 14, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spectrum Psychiatric Group PCGroup PAC ID 1254328610, 11 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spectrum Psychiatric Group PC

  • Psychiatry Physician
  • Hamden, CT
  • NPI 1558420653
  Medicare reassignment Care Compare group NPD
• Prospect CT Medical Foundation, Inc.

  • Family Medicine Physician
  • Manchester, CT
  • NPI 1144677568

  Clinical

  Medicare reassignment NPD
• Prospect Waterbury, Inc.

  • General Acute Care Hospital
  • Waterbury, CT
  • NPI 1477902641
  Medicare reassignment NPD
• The Griffin Hospital

  • General Acute Care Hospital
  • Derby, CT
  • NPI 1184639973
  Medicare reassignment NPD
• Spectrum Psychiatric Group PC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Hamden, CT
  • NPI 1518142058
  NPD (past)

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368489600000",
    "number": "1518303890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 ROBBINS ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082613",
            "telephone_number": "203-573-6103",
            "fax_number": "203-573-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 ROBBINS ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082613",
            "telephone_number": "203-573-6103",
            "fax_number": "203-573-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVALLO",
        "first_name": "KRISTI",
        "middle_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-14",
        "last_updated": "2013-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catholic Charities
• Catholic Charities
• Catholic Charities Inc - Archdiocese of Hartford
• Catholic Charities Inc - Archdiocese of Hartford
• Catholic Charities, Inc. - Archdiocese of Hartford
• Debbie L. Cayabyab, M.D.
• Cedar Lane Rehabilitation & Health Care Ctr LLC (Village Green of Waterbury Rehabilitation and Health Center)
• Cedar Lane Rehabilitation and Health Care Center LLC (Village Green of Waterbury Rehabilitation and Health Center)
• Linda Cedarbaum
• Estafani Cedeno

• Clinical Social Worker in Waterbury, CT
• Providers in Waterbury, 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 May 14, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.