Carly Canizales, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

8411 Issued in CT

Practice address

1506 Post Rd
Fairfield, CT 06824-5916

Phone

(203) 689-3155

NPI assigned

Oct 16, 2024

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

Other names 1

• Carly Lowe Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1659191393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506B POST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245911",
            "telephone_number": "203-689-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 POST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245916",
            "telephone_number": "203-689-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANIZALES",
        "first_name": "CARLY",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "CT",
            "license": "8411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLY",
            "last_name": "LOWE",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David A Cameron, PT
• Tracy Campbell
• Alfonse Mariano Campo, M.D.
• Carrie Beth Canavan, PT
• Angela Candelaria, M.D.
• Christopher Cannella, L.O.
• Laura J Caramore, OTR L
• Alexandra Elena Cardenas
• Cardiac Specialists
• Cardiac Specialists, P.C.

• Social Worker in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.