Individual provider Active NPI

Seva Galanis, LCSW, LADC

  • Clinical Social Worker
  • Southington, CT
National Provider Identifier
1518569490
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
012655 Issued in CT
Practice address
725 Meriden Waterbury Tpke
Southington, CT 06489-4126
Phone
(203) 930-1013
NPI assigned
Nov 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1362 CT
Clinical Social Worker 1041C0700X 012655 CT Primary

Addresses

Primary practice location

725 Meriden Waterbury Tpke
Southington, CT 06489-4126

Mailing address

725 Meriden Waterbury Tpke
Southington, CT 06489-4126
Phone (203) 930-1013

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
I20240507000333 CT Practitioner - Clinical Social Worker 6305286477 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012655CTMDClinical Social Worker
12655CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Apr 3, 2024 Accepting new patients
Turning Leaves Counseling, LLC Addiction (Substance Use Disorder) CurrentSince Jul 4, 2021 Accepting new patients

Locations

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

725 Meriden Waterbury Tpke
Southington, CT 06489
Phone (203) 930-1013

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 2

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": "1605398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1518569490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 MERIDEN WATERBURY TPKE",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064894126",
            "telephone_number": "203-930-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 MERIDEN WATERBURY TPKE",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064894126",
            "telephone_number": "203-930-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALANIS",
        "first_name": "SEVA",
        "credential": "LCSW, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-15",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "1362",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "012655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southington, CT

Sources for this page

Verify at the official NPI Registry.