CHRYSTAL ALINE CANOVA LCSW
NPI 1063995124
Social Worker - Clinical in New London, CT

Active since September 13, 2018PECOS EnrolledAccepts Medicare Assignment
21 MONTAUK AVE, NEW LONDON, CT 06320(860) 439-6400(860) 390-1463 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2025, Dec 23, 2022, Nov 12, 2020 and 1 more (4 updates tracked since 2018).

About Chrystal Aline Canova Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRYSTAL ALINE CANOVA LCSW (NPI 1063995124) is an individual clinical provider in New London, Connecticut and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Connecticut School Of Medicine (2020).

NPPES Registry Identity

NPI1063995124
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCHRYSTAL ALINE CANOVACredential: LCSW
Location Address21 MONTAUK AVENew London, CT 06320-4906
Mailing Address2 Waterside Xing Ste 401Windsor, CT 06095-1588 · (860) 731-5522 · Fax (860) 731-5536
Fax(860) 390-1463
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2020
Enumeration DateSeptember 13, 2018
Last NPPES UpdateMarch 12, 20254 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
NPI 1063995124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
21 MONTAUK AVE, New London, CT 06320

Other Names 1

Former Name (1)Chrystal Aline Canova

Secondary Practice Locations 2

Location 1444 Center StManchester, CT 06040-3926 · Phone (860) 731-5522 · Fax (860) 731-5536
Location 21007 N Main StDayville, CT 06241-2170 · Phone (607) 742-0208 · Fax (860) 774-0826

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Chrystal Aline Canova Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214308378
PECOS Enrollment IDI20230127001417
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
60 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06320 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
21 MONTAUK AVE
NEW LONDON, CT 06320
Social Worker (Clinical)
21 MONTAUK AVE
NEW LONDON, CT 06320
Clinical Nurse Specialist (Psychiatric/Mental Health, Geropsychiatric)
21 MONTAUK AVE
NEW LONDON, CT 06320
Counselor (Professional)
21 MONTAUK AVE
NEW LONDON, CT 06320
Social Worker (Clinical)
21 MONTAUK AVE
NEW LONDON, CT 06320
Social Worker (Clinical)
21 MONTAUK AVE
NEW LONDON, CT 06320
Dentist (General Practice)
21 MONTAUK AVE, SUITE 102
NEW LONDON, CT 06320
Counselor (Mental Health)
21 MONTAUK AVE
NEW LONDON, CT 06320

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chrystal Canova's NPI number?

The NPI number for Chrystal Canova is 1063995124. It was assigned to this individual provider in the NPPES registry on September 13, 2018. The provider is also known as Chrystal Aline Canova.

Where is Chrystal Canova located?

Chrystal Canova practices at 21 Montauk Ave, New London, CT 06320. The listed phone number is (860) 439-6400.

What is Chrystal Canova's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Chrystal Canova enrolled in Medicare?

Yes. Chrystal Canova is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Chrystal Canova was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.