Nava, Gustavo

Nava, Gustavo is an individual health care provider with primary practice located at 20 York St , New Haven CT 06504-8900. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Nava, Gustavo can be contacted via phone (203) 688-9861.

Contact Information

Primary practice address
20 York St New Haven CT 06504-8900
Fax: (203) 688-3596
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 004868 Connecticut

Profile Details

NPI number 1174561096
LBN Legal business name Nava, Gustavo
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Apr 9th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174561096 NPPES
Connecticut MEDICAID 004227593

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