Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Penny Tavar, LCSW

Individual provider Clinical Social Worker · NPI 1053843318

Penny Tavar, LCSW is a Clinical Social Worker in Newtown, Connecticut. Graduated from Fordham University School of Medicine in 1997, 29 years ago. Accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
29
Trained at
Fordham University School of Medicine
Licensed in
CT
In the registry since
2017
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

25 Church Hill Rd
Newtown, CT 06470-1639
Phone: (203) 988-6900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 10869 (CT)
Social Worker Taxonomy 104100000X · Licence 3415 (CT)

Record details

NPI number1053843318
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 28, 2017
Last updated in NPPESMarch 4, 2020
Certification dateMarch 4, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolFORDHAM UNIVERSITY SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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