Taiya Supranovich, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9646 Issued in CT

Practice address

1138 W Main St
Waterbury, CT 06708-2786

Phone

(860) 877-5155

NPI assigned

Apr 7, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1775520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1851233159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 HARLEM AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064537",
            "telephone_number": "860-877-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 W MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082786",
            "telephone_number": "860-877-5155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Oxford Rd Ste B6",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "CT",
            "postal_code": "064603819",
            "country_code": "US",
            "telephone_number": "860-877-5155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUPRANOVICH",
        "first_name": "TAIYA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-07",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "9646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Ann Sullivan, MSW,BA
• Meghan Sullivan, RD
• Veronica Sullivan
• William Summa
• Gertrude Ellen Super, M.A.
• Janet Suquilanda
• Surgi-Center Anesthesiologists, P.C
• Surgical Associates of Waterbury, P.C.
• Surgical Specialists PC
• Arvind Suri

• Clinical Social Worker in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.