Active NPI
Healing Passages, LLC
- Clinical Social Worker
- South Windsor, CT
National Provider Identifier
1467737965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 007441
- Legal business name
- HEALING PASSAGES, LLC
- Practice address
- 435 Buckland Rd
South Windsor, CT 06074-3720 - Phone
- (860) 249-3272
- NPI assigned
- Oct 15, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrea M Grant
- Title
- Owner
- Phone
- (860) 249-3272
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 007441 | CT | Primary |
Addresses
Primary practice location
435 Buckland Rd
South Windsor, CT 06074-3720
Mailing address
82 Manchester St
Hartford, CT 06112-1454
Phone (860) 690-4983
National Provider Directory
National Provider DirectoryLocations
670 Prospect Ave
Rm 305
Hartford, CT 06105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1318636800000",
"number": "1467737965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 MANCHESTER ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061121454",
"telephone_number": "860-690-4983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 BUCKLAND RD",
"city": "SOUTH WINDSOR",
"state": "CT",
"postal_code": "060743720",
"telephone_number": "860-249-3272"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALING PASSAGES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-15",
"last_updated": "2011-10-15",
"status": "A",
"authorized_official_last_name": "GRANT",
"authorized_official_first_name": "ANDREA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "860-249-3272"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "007441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Windsor, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.