Individual provider Active NPI

Charlotte Sabovic, LCSW

  • Clinical Social Worker
  • Hamden, CT
National Provider Identifier
1699591339
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
008505 Issued in CT
Practice address
299 Washington Ave Ste 19
Hamden, CT 06518-3026
Phone
(475) 882-0588
NPI assigned
Nov 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 008505 CT Primary

Addresses

Primary practice location

299 Washington Ave Ste 19
Hamden, CT 06518-3026

Mailing address

132 Main St Ste 2a
Southington, CT 06489-2561
Phone (475) 882-0588

Other practice location 1

132 Main St Ste 2A
Southington, CT 06489-2561
Phone (475) 882-0588

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
I20250506001999 CT Practitioner - Clinical Social Worker 9537686290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

5520 Park Ave
Suite 207
Trumbull, CT 06611-3465
Phone (203) 373-9015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008505CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mill Hill Medical Consultants Inc CurrentSince Apr 21, 2025 Accepting new patients
Northeast Medical Group, Inc. Clinical CurrentSince Apr 21, 2025 Accepting new patients

Locations

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

5520 Park Ave
Ste 207
Trumbull, CT 06611
Phone (203) 373-6858

112 Quarry Rd
Ste 220
Trumbull, CT 06611
Phone (203) 374-6162

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": "1732579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1699591339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 MAIN ST STE 2A",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892561",
            "telephone_number": "475-882-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 WASHINGTON AVE STE 19",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183026",
            "telephone_number": "475-882-0588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "132 Main St Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Southington",
            "state": "CT",
            "postal_code": "064892561",
            "country_code": "US",
            "telephone_number": "475-882-0588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SABOVIC",
        "first_name": "CHARLOTTE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.