Neil Canavan, LCSW
Social Worker, Clinical in Waterford, Connecticut
1205989654- Practice location
- 567 Vauxhall Street Ext, Waterford, CT 06385-4330
- Phone
- 860-599-2348
- Fax
- —
- Last updated
- November 20, 2012
Neil Canavan is a Social Worker, Clinical based in Waterford, CT. Neil Canavan practices in Waterford, CT and has the professional credentials of LCSW. The NPI Number for Neil Canavan is 1205989654 and holds a License No. 005667 (CT). The current practice location address for Neil Canavan is 567 Vauxhall Street Ext, Waterford, CT 06385-4330 and can be reached out via phone at 860-599-2348.
Provider Profile Details
- NPI Number
- 1205989654
- Provider Name
- Neil Canavan
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 567 Vauxhall Street Ext, Waterford, CT 06385-4330
- Phone Number
- 860-599-2348
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 19, 2007
- Last Update Date
- November 20, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 567 Vauxhall Street Ext
Waterford, CT 06385-4330 - City
- Waterford
- State
- Connecticut
- Zip
- 06385-4330
- Phone Number
- 860-599-2348
Provider Business Mailing Address Details
- Address
- 567 Vauxhall Street Ext Ste 314
Waterford, CT 06385-4341 - City
- Waterford
- State
- CT
- Zip
- 06385-4341
- Phone Number
- 860-599-2348
License Information
- License Number
- 005667
- License State
- CT
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Neil Canavan, LCSW?
The NPI number of Neil Canavan, LCSW is 1205989654. It was assigned on January 19, 2007 and is currently active in the NPPES registry.
What is the specialty of Neil Canavan, LCSW?
Neil Canavan, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 005667.
Where does Neil Canavan, LCSW practice?
The practice location is 567 Vauxhall Street Ext, Waterford, CT 06385-4330. The office can be reached at 860-599-2348 (phone).
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 1205989654 directly on the NPPES registry website.