Individual provider Active NPI

Carlo Codato, LCSW

  • Clinical Social Worker
  • Stamford, CT
National Provider Identifier
1740307586
Registry record updated Oct 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007141 Issued in CT
Practice address
1200 High Ridge Rd Ste 208
Stamford, CT 06905-1202
Phone
(203) 554-8835
Fax
(203) 658-5182
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 007141 CT
Clinical Social Worker 1041C0700X 007141 CT Primary

Addresses

Primary practice location

1200 High Ridge Rd Ste 208
Stamford, CT 06905-1202

Mailing address

44 Pleasant St Apt 16
Stamford, CT 06901-2147
Phone (203) 554-8835

Other practice location 1

44 Pleasant St Apt 16
Stamford, CT 06901-2147
Phone (203) 554-8835

Other identifiers 1

IdentifierTypeStateIssuer
008037844MedicaidCT

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
I20091015000123 CT Practitioner - Clinical Social Worker 1759427180 Practice locations: Stamford, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

125 Strawberry Hill Ave
Suite 304
Stamford, CT 06902-2536
Phone (203) 554-8835

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007141CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of Fairfield County, Inc. PastSince Sep 8, 2003 Accepting new patients

Organizations & group practices 1

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697932800000",
    "number": "1740307586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 PLEASANT ST APT 16",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069012147",
            "telephone_number": "203-554-8835",
            "fax_number": "203-658-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HIGH RIDGE RD STE 208",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069051202",
            "telephone_number": "203-554-8835",
            "fax_number": "203-658-5182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 Pleasant St Apt 16",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069012147",
            "country_code": "US",
            "telephone_number": "203-554-8835",
            "fax_number": "203-658-5182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CODATO",
        "first_name": "CARLO",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2023-10-22",
        "certification_date": "2023-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "007141",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008037844",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.