Active NPI
Jennifer Tacchi-Galvan, MSW
- Clinical Social Worker
- Hartford, CT
National Provider Identifier
1841416658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 900 Asylum Ave
Hartford, CT 06105-1901 - Phone
- (860) 218-6019
- Fax
- (860) 240-7078
- NPI assigned
- Apr 18, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
900 Asylum Ave
Hartford, CT 06105-1901
Mailing address
80 Hudson Street
Berlin, CT 06037
Phone (860) 829-8528
Other names 1
- Mrs. Jennifer Galvan
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harc, Inc. | Past | Accepting new patients | |
| Harc, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Harc Behavioral Health Clinic
- Developmentally Disabled Services Day Training Agency
- Hartford, CT
- NPI 1336282441
-
- Developmentally Disabled Services Day Training Agency
- Hartford, CT
- NPI 1386906279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841416658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 HUDSON STREET",
"city": "BERLIN",
"state": "CT",
"postal_code": "06037",
"telephone_number": "860-829-8528",
"fax_number": "860-240-7078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 ASYLUM AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061051901",
"telephone_number": "860-218-6019",
"fax_number": "860-240-7078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TACCHI-GALVAN",
"first_name": "JENNIFER",
"name_prefix": "Mrs.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "GALVAN",
"prefix": "MRS.",
"credential": "MSW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.