Chavonn Duncan
Individual provider Active NPI Social Worker · Woodbridge, CT
NPI 1679258693 · NPPES record last updated Jun 19, 2023
Key facts
- NPI
- 1679258693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 30 Hazel Ter Ste 20
Woodbridge, CT 06525-2240 - Phone
- (203) 966-0306
- NPI assigned
- Jun 19, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Yale New Haven Hospital
Practice addresses (Care Compare)
20 York St
New Haven, CT 06510-3220
Phone (203) 688-2464
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250904003624 | CT | Practitioner - Clinical Social Worker | 8527560044 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale New Haven Hospital | Current |
Accepting new patients |
Locations
425 George St
New Haven, CT 06511
Phone (203) 688-3182
20 York St
North Haven, CT 06510
Phone (203) 688-2433
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
30 Hazel Ter Ste 20
Woodbridge, CT 06525-2240
Mailing address
100 Town Walk Dr Apt 4213
Hamden, CT 06518-3756
Phone (860) 771-0179
Other providers in Woodbridge, CT
- Dove Health Medical Supplies LLC
- Michael Dow
- Andrew Dows
- Dr. Benjamin Szczypek, LLC
- Lynne Drazen
- Esther Duncan
- Maria Dynia
- Eleventh Hour, LLC
- Emeritus Corporation
- Stephanie Esposito
All providers in Woodbridge, CT · Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.