Individual provider Active NPI

Cheryl S. Antarsh, MSW, LCSW

  • Social Worker
  • Avon, CT
National Provider Identifier
1669638797
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
003414 Issued in CT
Practice address
29 West Main St
BLDG 2 - Suite 101
Avon, CT 06001
Phone
(860) 392-8056
NPI assigned
Jul 29, 2008
Sex
Female
Sole proprietor
Yes

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
003414CTMDSocial Worker

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 003414 CT Primary

Addresses

NPPES NPI Registry

Primary practice location

29 West Main St
BLDG 2 - Suite 101
Avon, CT 06001

Mailing address

27 Crestwood Rd
Simsbury, CT 06070
Phone (860) 658-6990

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
14003414CT01OtherANTHEM BLUECROSS AND BLUESHIELD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 29, 2008.

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1669638797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CRESTWOOD RD",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "06070",
            "telephone_number": "860-658-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 WEST MAIN ST",
            "address_2": "BLDG 2 - SUITE 101",
            "city": "AVON",
            "state": "CT",
            "postal_code": "06001",
            "telephone_number": "860-392-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTARSH",
        "first_name": "CHERYL",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "003414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUECROSS AND BLUESHIELD",
            "identifier": "14003414CT01",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.