Active NPI
Twanda Grey, LCSW
- Clinical Social Worker
- New Haven, CT
National Provider Identifier
1508249152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9161
- Practice address
- 419 Whalley Ave Ste 309
New Haven, CT 06511-3019 - Phone
- (203) 823-9150
- Fax
- (203) 905-6809
- NPI assigned
- Jul 1, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9161 | CT | Primary |
Addresses
Primary practice location
419 Whalley Ave Ste 309
New Haven, CT 06511-3019
Mailing address
210 Yale Ave
New Haven, CT 06515-2231
Phone (203) 430-7865
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strategic Resolutions | Clinical | Current | Accepting new patients |
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
Locations
419 Whalley Ave
Ste 309
New Haven, CT 06511
Phone (203) 823-9150
Interoperability endpoints
- twandagrey@tdh.allscriptsdirect.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- New Haven, CT
- NPI 1831911783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436832000000",
"number": "1508249152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 YALE AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065152231",
"telephone_number": "203-430-7865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 WHALLEY AVE STE 309",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065113019",
"telephone_number": "203-823-9150",
"fax_number": "203-905-6809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREY",
"first_name": "TWANDA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-01",
"last_updated": "2015-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "9161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.