Individual provider · Type 1 NPI

Chrystal Aline Canova, LCSW

Clinical Social Worker · New London, CT

NPI number 1063995124 Active

Practice location

21 Montauk Ave
New London, CT 06320-4906

Fax (860) 390-1463

Mailing address

2 Waterside Xing Ste 401
Windsor, CT 06095-1588

Other practice locations

  • 444 Center St, Manchester, CT 06040-3926 · (860) 731-5522
  • 1007 N Main St, Dayville, CT 06241-2170 · (607) 742-0208

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1063995124

Chrystal Aline Canova, LCSW's National Provider Identifier is 1063995124, issued on Sep 13, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New London, CT. The record was last updated on Mar 12, 2025.