Individual provider · Type 1 NPI

Taiya Supranovich, LMSW

Clinical Social Worker · Waterbury, CT

NPI number 1851233159 Active

Practice location

1138 W Main St
Waterbury, CT 06708-2786

Mailing address

345 Harlem Ave
Bridgeport, CT 06606-4537

Other practice locations

  • 4 Oxford Rd Ste B6, Milford, CT 06460-3819 · (860) 877-5155

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X9646 (CT)

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 1851233159

Taiya Supranovich, LMSW's National Provider Identifier is 1851233159, issued on Apr 7, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Waterbury, CT. The record was last updated on Apr 7, 2026.