Andrea Granath LLC

Key facts

NPI

1447766993

Entity type

Organization (NPI type 2)

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Legal business name

ANDREA GRANATH LLC

Practice address

35 Boston Street
Lower Level, Left Side
Guilford, CT 06437

Phone

(631) 848-6399

NPI assigned

Dec 20, 2017

Organization subpart

No

Authorized official

Name

Andrea Granath, LCSW NPI 1386971851

Title

Social Worker

Phone

(631) 848-6399

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea Granath, LCSW Social Worker · Rochester, NY · NPI 1386971851
  NPD Authorized official

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 20, 2017.

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513728000000",
    "number": "1447766993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BOSTON STREET",
            "address_2": "LOWER LEVEL, LEFT SIDE",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "06437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BOSTON STREET",
            "address_2": "LOWER LEVEL, LEFT SIDE",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "06437",
            "telephone_number": "631-848-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA GRANATH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-20",
        "last_updated": "2017-12-20",
        "status": "A",
        "authorized_official_last_name": "GRANATH",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "631-848-6399",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386971851",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Guilford, CT · Mental Health Clinic/Center (Including Community Mental Health Center) in Connecticut