Carolina Canavosio

Individual provider Active NPI Clinical Social Worker · Summit, NJ

NPI 1942089271 · NPPES record last updated Sep 10, 2025

Key facts

NPI
1942089271
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
44SC06169500 (NJ)
Practice address
382 Springfield Ave
Summit, NJ 07901-2707
Phone
(908) 370-9641
NPI assigned
Sep 26, 2023
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
44SC06169500NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Canavosio Therapy LLC Current
since Nov 19, 2023
Accepting new patients

Locations

400 Main St
Bedminster, NJ 07921
Phone (908) 332-2471

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC06169500 NJ Yes

Addresses

Primary practice location

382 Springfield Ave
Summit, NJ 07901-2707

Mailing address

89 Beechwood Rd
Summit, NJ 07901-2121
Phone (908) 370-3774

Other practice location 1

400 Main St
Bedminster, NJ 07921-2604
Phone (908) 370-9641

Other providers in Summit, NJ

All providers in Summit, NJ · Clinical Social Worker in New Jersey

Sources for this page

Verify at the official NPI Registry.