Individual provider Active NPI

Danyell Byrd, LCSW

  • Clinical Social Worker
  • New Haven, CT
National Provider Identifier
1245900497
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
011693 Issued in CT
Practice address
419 Whalley Avenue
First Floor Suite 101
New Haven, CT 06511
Phone
(203) 439-5555
Fax
(203) 738-1117
NPI assigned
Sep 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 011693 CT Primary

Addresses

Primary practice location

419 Whalley Avenue
First Floor Suite 101
New Haven, CT 06511

Mailing address

419 Whalley Ave FL 1
New Haven, CT 06511-3019
Phone (203) 439-5555

Other practice location 1

2911 Dixwell Ave Ste 15
Hamden, CT 06518-3195
Phone (203) 439-5555

Other names 1

  • Danyell Jackson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220505000543 CT Practitioner - Clinical Social Worker 6305233669 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011693CTMDDentist
11693CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Effective Community Services TLC CurrentSince Oct 9, 2022 Accepting new patients
Effective Community Services TLC LLC Clinical CurrentSince Feb 23, 2024 Accepting new patients
Reliant Behavioral Health and Community Services LLC Clinical CurrentSince Dec 31, 2021 Accepting new patients

Locations

2911 Dixwell Ave
Ste 15
Hamden, CT 06518
Phone (203) 439-5555

419 Whalley Ave
Fl 1
New Haven, CT 06511
Phone (203) 439-5555

419 Whalley Ave
Ste 101
New Haven, CT 06511
Phone (203) 439-5555

116 Sherman Ave
New Haven, CT 06511
Phone (203) 439-5555

Organizations & group practices 3

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": "1632009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1245900497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 WHALLEY AVE FL 1",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113019",
            "telephone_number": "203-439-5555",
            "fax_number": "203-738-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 WHALLEY AVENUE",
            "address_2": "FIRST FLOOR SUITE 101",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06511",
            "telephone_number": "203-439-5555",
            "fax_number": "203-738-1117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2911 Dixwell Ave Ste 15",
            "address_purpose": "LOCATION",
            "city": "Hamden",
            "state": "CT",
            "postal_code": "065183195",
            "country_code": "US",
            "telephone_number": "203-439-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYRD",
        "first_name": "DANYELL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-19",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "011693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANYELL",
            "last_name": "JACKSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.