Individual provider Active NPI

Krystalys Golding, LMSW

  • Social Worker
  • Madison, CT
National Provider Identifier
1083434294
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
10348 Issued in CT
Practice address
724 Boston Post Rd Ste 304
Madison, CT 06443-3055
Phone
(203) 676-7697
NPI assigned
Oct 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 10348 CT Primary

Addresses

Primary practice location

724 Boston Post Rd Ste 304
Madison, CT 06443-3055

Mailing address

81 Yates St
West Haven, CT 06516-1144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10348CTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Empower and Elevate Counseling CurrentSince Oct 20, 2024 Accepting new patients

Locations

724 Boston Post Rd
Ste 304
Madison, CT 06443
Phone (203) 676-7697

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1083434294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 YATES ST",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065161144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 BOSTON POST RD STE 304",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064433055",
            "telephone_number": "203-676-7697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDING",
        "first_name": "KRYSTALYS",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "10348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.