Chrystal A Canova, LCSW
Social Worker, Clinical in New London, Connecticut
1063995124- Practice location
- 21 Montauk Ave, New London, CT 06320-4906
- Phone
- 860-439-6400
- Fax
- 860-390-1463
- Last updated
- March 12, 2025
Chrystal Aline Canova is a Social Worker, Clinical based in New London, CT. Chrystal Aline Canova practices in New London, CT and has the professional credentials of LCSW. The NPI Number for Chrystal Aline Canova is 1063995124. The current practice location address for Chrystal Aline Canova is 21 Montauk Ave, New London, CT 06320-4906 and can be reached out via phone at 860-439-6400 and via fax at 860-390-1463.
Provider Profile Details
- NPI Number
- 1063995124
- Provider Name
- Chrystal Aline Canova
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 21 Montauk Ave, New London, CT 06320-4906
- Phone Number
- 860-439-6400
- Fax Number
- 860-390-1463
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Other Names
- Chrystal Aline Canova (Former Name)
- Provider Enumeration Date
- September 13, 2018
- Last Update Date
- March 12, 2025
- Certification Date
- March 12, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 21 Montauk Ave
New London, CT 06320-4906 - City
- New London
- State
- Connecticut
- Zip
- 06320-4906
- Phone Number
- 860-439-6400
- Fax Number
- 860-390-1463
Provider Business Mailing Address Details
- Address
- 2 Waterside Xing Ste 401
Windsor, CT 06095-1588 - City
- Windsor
- State
- CT
- Zip
- 06095-1588
- Phone Number
- 860-731-5522
- Fax Number
- 860-731-5536
License Information
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near New London, CT
View all Social Worker, Clinical providers in New London →- Angela Aguilar, LMSWSocial Worker, Clinical · NPI 1811656507
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- Beverly J Carr, LCSWSocial Worker, Clinical · NPI 1952529513
- Calvin T Berg, LCSWSocial Worker, Clinical · NPI 1295305944
- Catherine Bates, MSWSocial Worker, Clinical · NPI 1700292562
- Dana Carvey, LSWSocial Worker, Clinical · NPI 1669259578
Frequently Asked Questions
What is the NPI number of Chrystal A Canova, LCSW?
The NPI number of Chrystal A Canova, LCSW is 1063995124. It was assigned on September 13, 2018 and is currently active in the NPPES registry.
What is the specialty of Chrystal A Canova, LCSW?
Chrystal A Canova, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).
Where does Chrystal A Canova, LCSW practice?
The practice location is 21 Montauk Ave, New London, CT 06320-4906. The office can be reached at 860-439-6400 (phone) or 860-390-1463 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063995124 directly on the NPPES registry website.