Courage to Grow, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

005911 Issued in CT

Legal business name

COURAGE TO GROW, LLC

Practice address

162 B East Main Street
Courage to Grow, LLC
Clinton, CT 06413

Phone

(860) 664-3592

Fax

(860) 664-3906

NPI assigned

Jul 26, 2011

Last updated

Jul 26, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan J Isaac, LCSWNPI 1013182518

Title

Owner

Phone

(860) 664-3592

Specialties & licenses 1

Addresses

Other identifiers 7

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, and the practitioner matching its NPPES authorized official.

• Susan Jean Isaac, LCSW

  • Clinical Social Worker
  • Madison, CT
  • NPI 1013182518
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1437437431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 B EAST MAIN STREET",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "06413",
            "telephone_number": "860-664-3592",
            "fax_number": "860-664-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 B EAST MAIN STREET",
            "address_2": "COURAGE TO GROW, LLC",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "06413",
            "telephone_number": "860-664-3592",
            "fax_number": "860-664-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGE TO GROW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-26",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "ISAAC",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-664-3592",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER",
            "identifier": "9560177",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9560177",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P4074057",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008002029",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "469787",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE SERVICES, INC.",
            "identifier": "0062-0087436",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "140005911CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Community Health Center Inc
• Connecticut CVS Pharmacy LLC (CVS Pharmacy # 01284)
• Courtney Marie Corso, LPC
• Steven T Costanzo
• Carol Ann Cote, M.S., CCC/SLP
• Carol Cruz
• Beverly Ann Cuseo, PT
• Lisa Mari Cutler-Stamm, MSW, LCSW
• Thomas L Dailey, PHARM.D.
• Catherine Casey Dalton

• Clinical Social Worker in Clinton, CT
• Providers in Clinton, 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 Jul 26, 2011; 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.