Edward Thomas Canning, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

006544 Issued in CT

Practice address

270 Center Street 2ND Floor
West Haven Mental Health Clinic
West Haven, CT 06516

Phone

(203) 974-5925

Fax

(203) 974-5905

NPI assigned

Dec 16, 2010

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292457600000",
    "number": "1619270436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 CENTER STREET 2ND FLOOR",
            "address_2": "WEST HAVEN MENTAL HEALTH CLINIC",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "06516",
            "telephone_number": "203-974-5925",
            "fax_number": "203-974-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 CENTER STREET 2ND FLOOR",
            "address_2": "WEST HAVEN MENTAL HEALTH CLINIC",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "06516",
            "telephone_number": "203-974-5925",
            "fax_number": "203-974-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNING",
        "first_name": "EDWARD",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-16",
        "last_updated": "2010-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Campbell Aco
• Campbell Med LTC LLC
• Campbell Medical Services, LLC
• Marian Campbell-Gethers, PA-C
• Patricia Dunn Cann, P.T.
• Corine Rose Canoza
• Janet Cao
• Julie Anne Cappetta, RPT
• Emily Reese Caramore, DC
• Linda Ann Carboni, MSW

• Clinical Social Worker in West Haven, CT
• Providers in West Haven, 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 Dec 16, 2010; 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.