Chenae Bacchus, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17193 Issued in CT

Practice address

33 Calhoun PL
Bridgeport, CT 06604-3403

Phone

(203) 335-2554

NPI assigned

Jul 9, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Chenae Smith Other 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": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787356800000",
    "number": "1770154718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 BANKSIDE ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066062617",
            "telephone_number": "347-543-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CALHOUN PL",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066043403",
            "telephone_number": "203-335-2554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "858 E 29th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112102927",
            "country_code": "US",
            "telephone_number": "718-859-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACCHUS",
        "first_name": "CHENAE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-09",
        "last_updated": "2026-08-22",
        "certification_date": "2026-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "110790-01",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "17193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHENAE",
            "last_name": "SMITH",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Leah Mae Azab, MD
• Mehran Azar, DDS
• Abra Aziagbe-Zilevu, MD
• Omar Azrak, MD
• Hannah Fathima Babu, MBBS
• Joshua Back, PA-C
• Candra K Bacote, LMSW
• Mohamed Badawy, MD
• Lewis M Bader, MD
• Mohamed Badheeb

• All providers in Bridgeport, CT
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2026; 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.