Active NPI
Nicole Amelia Grywalski, LCSW
- Clinical Social Worker
- Norwalk, CT
National Provider Identifier
1285282467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11437
- Practice address
- 9 Berkeley St FL 1
Norwalk, CT 06850-3987 - Phone
- (203) 727-2015
- NPI assigned
- Aug 30, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 4206 | CT | |
| Clinical Social Worker | 1041C0700X | 11437 | CT | Primary |
Addresses
Primary practice location
9 Berkeley St FL 1
Norwalk, CT 06850-3987
Mailing address
3 Roosevelt St
Norwalk, CT 06851-3014
Phone (203) 727-2015
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11437 | CT | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630627200000",
"number": "1285282467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 ROOSEVELT ST",
"city": "NORWALK",
"state": "CT",
"postal_code": "068513014",
"telephone_number": "203-727-2015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 BERKELEY ST FL 1",
"city": "NORWALK",
"state": "CT",
"postal_code": "068503987",
"telephone_number": "203-727-2015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRYWALSKI",
"first_name": "NICOLE",
"middle_name": "AMELIA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-30",
"last_updated": "2021-09-03",
"certification_date": "2021-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "4206",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "11437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.