Provider Demographics
NPI:1518197441
Name:CANATA, NANCY CAROL (LCSW)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:CAROL
Last Name:CANATA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:CAROL
Other - Last Name:POPKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:34 SEQUASSEN ST
Mailing Address - Street 2:234A
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106-2866
Mailing Address - Country:US
Mailing Address - Phone:860-509-3780
Mailing Address - Fax:860-509-3771
Practice Address - Street 1:474 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:EAST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06108-1149
Practice Address - Country:US
Practice Address - Phone:860-509-3780
Practice Address - Fax:860-509-3771
Is Sole Proprietor?:No
Enumeration Date:2009-07-27
Last Update Date:2009-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0031541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical