Anthony Joseph Nave Jr., LCSW
Individual provider Active NPI Clinical Social Worker · Canaan, CT
NPI 1992274427 · NPPES record last updated Nov 14, 2018
Key facts
- NPI
- 1992274427
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 10428 (CT)
- Practice address
- 187 S Canaan Rd
Canaan, CT 06018-2544 - Phone
- (860) 824-1397
- NPI assigned
- Nov 14, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
40 Main St
Suite 16
Torrington, CT 06790-5340
Phone (203) 441-3143
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241210002021 | CT | Practitioner - Clinical Social Worker | 6608302963 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10428 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Space | Current |
Accepting new patients |
Locations
123 Farmington Ave
Ste 156
Bristol, CT 06010
Phone (203) 208-8372
40 Main St
Ste 16
Torrington, CT 06790
Phone (203) 208-8372
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 10428 | CT | Yes |
Addresses
Primary practice location
187 S Canaan Rd
Canaan, CT 06018-2544
Mailing address
59 Old Farm Rd
Bristol, CT 06010-2541
Phone (203) 564-0060
Other providers in Canaan, CT
- Shanthi Mogali
- Mountainside Treatment Center
- Chelsi Munning
- Meliha Muskic
- Natural Pediatric Medicine, LLC
- North Canaan Volunteer Ambulance Corp
- Sarah Dorothy Osborne
- Charles Page
- Tyler Pepin
- Lauren Peterson
All providers in Canaan, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.