Nancy Lynn Grandelski, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

005512 Issued in CT

Practice address

877 Upper Maple St
Dayville, CT 06241-2228

Phone

(860) 792-1266

NPI assigned

May 16, 2012

Last updated

Mar 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

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  • NPI 1619284593
  Medicare reassignment NPD
• Achieve Speech & Language Services

  • Speech-Language Pathologist
  • Woodstock, CT
  • NPI 1477297471
  NPD
• Parham Counseling Services, LLC

  • Mental Health Counselor
  • Norwich, CT
  • NPI 1750893905
  NPD

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1548520190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 COTTAGE ST",
            "city": "DANIELSON",
            "state": "CT",
            "postal_code": "062393014",
            "telephone_number": "860-774-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 UPPER MAPLE ST",
            "city": "DAYVILLE",
            "state": "CT",
            "postal_code": "062412228",
            "telephone_number": "860-792-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDELSKI",
        "first_name": "NANCY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-16",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Gazzola, LCSW
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• Gina M. Mills, LCSW, LLC
• Kristina Karin Glaude, MA
• Karen McIntyre Graf, LCSW
• Green Valley Optical, LLC
• Kara Gregg, OT
• Kerri L Griffin, MSW, LCSW
• Tracy Gustafson, PT
• Carol Margaret Hamlin, NP-C

• Clinical Social Worker in Dayville, CT
• Providers in Dayville, 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 Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.