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
Phone: (203) 688-9861
Fax: (203) 688-3596
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174561096 | NPPES |
| Connecticut | MEDICAID | 004227593 |
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