Courageous Healing LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

COURAGEOUS HEALING LLC

Practice address

353 Central Ave
New Haven, CT 06515-2207

Phone

(203) 980-1195

NPI assigned

May 19, 2021

Organization subpart

No

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

Authorized official

Name

Grace Kindilien Moskowitz, LCSWNPI 1265985725

Title

Ceo

Phone

(203) 980-1195

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

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

• Grace Kindilien Moskowitz, LCSW

  • Clinical Social Worker
  • New Haven, CT
  • NPI 1265985725
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1053985333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 CENTRAL AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065152207",
            "telephone_number": "203-980-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 CENTRAL AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065152207",
            "telephone_number": "203-980-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGEOUS HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "MOSKOWITZ",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "KINDILIEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "203-980-1195",
        "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": []
}

• Brandi Parker Cotton, APRN
• Tara Cotton, PA
• Justin Cottrell, MD
• Ryan Francis Coughlin, M.D.
• Edouard Coupet II, M.D.
• Maria Courtney, P.A.
• Jennifer Coutinho
• Michael John Couturie, MD
• Katherine Celia Smith Couturier, M.D., M.P.H.
• Elaine Couvertier, LCSW

• Clinical Social Worker in New Haven, CT
• Providers in New Haven, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.