Individual provider Active NPI

Suzanne Tyghter, LCSW

  • Clinical Social Worker
  • North Haven, CT
National Provider Identifier
1386023323
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006901 Issued in CT
Practice address
48 Lawncrest Dr
North Haven, CT 06473-1130
Phone
(203) 645-8524
NPI assigned
May 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2015

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 006901 CT Primary

Addresses

Primary practice location

48 Lawncrest Dr
North Haven, CT 06473-1130

Mailing address

48 Lawncrest Dr
North Haven, CT 06473-1130
Phone (203) 645-8524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • 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
I20191213000242 CT Practitioner - Clinical Social Worker 7618300120 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006901CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lswhb LLC CurrentSince May 1, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Mar 4, 2025 Accepting new patients
Prohealth Physicians PC Past Accepting new patients

Locations

290 Western Blvd
Glastonbury, CT 06033
Phone (860) 652-3325

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

141 Willard Ave
Newington, CT 06111
Phone (860) 666-5601

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432252800000",
    "number": "1386023323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 LAWNCREST DR",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064731130",
            "telephone_number": "203-645-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 LAWNCREST DR",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064731130",
            "telephone_number": "203-645-8524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYGHTER",
        "first_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haven, CT

Sources for this page

Verify at the official NPI Registry.