Taiya Supranovich, LMSW
Social Worker, Clinical in Waterbury, Connecticut
1851233159- Practice location
- 1138 W Main St, Waterbury, CT 06708-2786
- Phone
- 860-877-5155
- Fax
- —
- Last updated
- April 7, 2026
Taiya Supranovich is a Social Worker, Clinical based in Waterbury, CT. Taiya Supranovich practices in Waterbury, CT and has the professional credentials of LMSW. The NPI Number for Taiya Supranovich is 1851233159 and holds a License No. 9646 (CT). The current practice location address for Taiya Supranovich is 1138 W Main St, Waterbury, CT 06708-2786 and can be reached out via phone at 860-877-5155.
Provider Profile Details
- NPI Number
- 1851233159
- Provider Name
- Taiya Supranovich
- Credential
- LMSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1138 W Main St, Waterbury, CT 06708-2786
- Phone Number
- 860-877-5155
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 7, 2026
- Last Update Date
- April 7, 2026
- Certification Date
- April 7, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1138 W Main St
Waterbury, CT 06708-2786 - City
- Waterbury
- State
- Connecticut
- Zip
- 06708-2786
- Phone Number
- 860-877-5155
Provider Business Mailing Address Details
- Address
- 345 Harlem Ave
Bridgeport, CT 06606-4537 - City
- Bridgeport
- State
- CT
- Zip
- 06606-4537
- Phone Number
- 860-877-5155
License Information
- License Number
- 9646
- 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 Taiya Supranovich, LMSW?
The NPI number of Taiya Supranovich, LMSW is 1851233159. It was assigned on April 7, 2026 and is currently active in the NPPES registry.
What is the specialty of Taiya Supranovich, LMSW?
Taiya Supranovich, LMSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 9646.
Where does Taiya Supranovich, LMSW practice?
The practice location is 1138 W Main St, Waterbury, CT 06708-2786. The office can be reached at 860-877-5155 (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 1851233159 directly on the NPPES registry website.