Active NPI
Patricia Helen Carl-Stannard, LCSW
- Clinical Social Worker
- Branford, CT
National Provider Identifier
1891887683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 001674
- Practice address
- 5 S Main St
Suite 514
Branford, CT 06405-3800 - Phone
- (203) 481-2887
- Fax
- (203) 483-8901
- NPI assigned
- Sep 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 001674 | CT | Primary |
Addresses
Primary practice location
5 S Main St
Suite 514
Branford, CT 06405-3800
Mailing address
5 S Main St
Suite 514
Branford, CT 06405-3800
Phone (203) 481-2887
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140001674CT02 | Other | CT | ANTHEM BC BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 26, 2025 through Mar 26, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001674 | CT | MD | Professional Counselor |
| 1674 | CT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1891887683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 S MAIN ST",
"address_2": "SUITE 514",
"city": "BRANFORD",
"state": "CT",
"postal_code": "064053800",
"telephone_number": "203-481-2887",
"fax_number": "203-483-8901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 S MAIN ST",
"address_2": "SUITE 514",
"city": "BRANFORD",
"state": "CT",
"postal_code": "064053800",
"telephone_number": "203-481-2887",
"fax_number": "203-483-8901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARL-STANNARD",
"first_name": "PATRICIA",
"middle_name": "HELEN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "001674",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC BS",
"identifier": "140001674CT02",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Branford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.