Individual provider Active NPI

Emily Charvis, LCSW

  • Clinical Social Worker
  • Cromwell, CT
National Provider Identifier
1891216412
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
009793 Issued in CT
Practice address
154 West St Ste 3D
Cromwell, CT 06416-4400
Phone
(860) 893-5628
NPI assigned
Jul 5, 2017
Last updated
Feb 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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 009793 CT Primary

Addresses

Primary practice location

154 West St Ste 3D
Cromwell, CT 06416-4400

Mailing address

154 West St Ste 3D
Cromwell, CT 06416-4400
Phone (860) 335-5817

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
I20230320001776 CT Practitioner - Clinical Social Worker 5496129140 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009793CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
CT Psych Now LLC Clinical CurrentSince Nov 29, 2022 Accepting new patients

Locations

154 West St
Ste 3D
Cromwell, CT 06416
Phone (860) 893-5628

40 Country Squire Dr
Ste 1A
Cromwell, CT 06416
Phone (860) 893-5628

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1891216412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 WEST ST STE 3D",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064164400",
            "telephone_number": "860-335-5817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 WEST ST STE 3D",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064164400",
            "telephone_number": "860-893-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARVIS",
        "first_name": "EMILY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "009793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cromwell, CT

Sources for this page

Verify at the official NPI Registry.