Organization Active NPI

My Story Healing

  • Clinical Social Worker
  • Guilford, CT
National Provider Identifier
1053144865
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MY STORY HEALING
Practice address
593 Long Hill Rd
Guilford, CT 06437-1880
Phone
(203) 931-5231
NPI assigned
Aug 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alexandra Brennan Rose, LCSWNPI 1588428650
Title
Owner
Phone
(203) 931-5231

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

593 Long Hill Rd
Guilford, CT 06437-1880

Mailing address

593 Long Hill Rd
Guilford, CT 06437-1880
Phone (203) 931-5231

Other practice location 1

20 Sterling St
Medford, MA 02155-5915
Phone (203) 931-5231

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1053144865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 LONG HILL RD",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064371880",
            "telephone_number": "203-931-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 LONG HILL RD",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064371880",
            "telephone_number": "203-931-5231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Sterling St",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "MA",
            "postal_code": "021555915",
            "country_code": "US",
            "telephone_number": "203-931-5231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MY STORY HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-26",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_middle_name": "BRENNAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-931-5231",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.