Individual provider Active NPI

Martin Grealy, LCSW

  • Clinical Social Worker
  • Hartford, CT
National Provider Identifier
1568624450
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
003407 Issued in CT
Practice address
200 Retreat Ave
Hartford Hopsital Psychiatry Department
Hartford, CT 06106-3309
Phone
(860) 519-3600
Fax
(860) 545-7510
NPI assigned
Jul 1, 2008
Last updated
Jul 1, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 003407 CT Primary

Addresses

Primary practice location

200 Retreat Ave
Hartford Hopsital Psychiatry Department
Hartford, CT 06106-3309

Mailing address

200 Retreat Ave
Hartford Hopsital Psychiatry Department
Hartford, CT 06106-3309
Phone (860) 519-3600

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20081008000027 CT Practitioner - Clinical Social Worker 6204904964 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford HospitalGroup PAC ID 2567366016, shared by 6 NPIs, 1,040 clinicians

Practice addresses (Care Compare)

100 Retreat Ave
Hartford, CT 06106-2508
Phone (860) 549-7970

100 Retreat Ave
Hartford, CT 06106-2528
Phone (860) 545-5000

111 Park St
Hartford, CT 06106-2520
Phone (860) 972-2780

118 Main St
Hartford, CT 06106-1817
Phone (860) 827-7690

119 Washington St
Hartford, CT 06106-4406
Phone (860) 827-7690

132 Jefferson St
Hartford, CT 06106-2404
Phone (860) 972-0200

150 Charter Oak Ave
Hartford, CT 06106-5102
Phone (860) 827-7690

151 Hillside Ave
Hartford, CT 06106-3527
Phone (860) 951-1060

175 Main St
Hartford, CT 06106-1818
Phone (860) 827-7690

200 Retreat Ave
Hartford, CT 06106-3310
Phone (860) 545-7500

282 Washington St
Hartford, CT 06106-3322

31 Seymour St
FL 2
Hartford, CT 06106-5521
Phone (860) 972-0050

32 Seymour St
Hartford, CT 06106-3321
Phone (860) 696-5950

35 Seymour St
Hartford, CT 06106-5521
Phone (860) 827-7690

560 Hudson St
Suite 253
Hartford, CT 06106-2501
Phone (860) 972-4444

614 New Britain Ave
Hartford, CT 06106-4033
Phone (860) 827-7690

705 New Britain Ave
Avery Heights
Hartford, CT 06106-4039
Phone (860) 527-4663

75 Main St
Hartford, CT 06106-1806
Phone (860) 827-7690

79 Retreat Ave
Hartford, CT 06106-2527
Phone (860) 972-2176

80 Seymour St
Hartford, CT 06102-8000

85 Seymour St
Hartford, CT 06106-5501
Phone (860) 827-7690

90 Retreat Ave
Hartford, CT 06106-2535
Phone (860) 560-2274

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.63 of 100Reported as group
Quality
75.35
Promoting interoperability
100
Improvement activities
40
Cost
71.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003407CTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Hospital CurrentSince Nov 18, 2017 Accepting new patients
Hartford Hospital CurrentSince Jun 23, 2008 Accepting new patients

Locations

200 Retreat Ave
Hartford, CT 06106
Phone (860) 545-7000

Interoperability endpoints

  • Direct secure messaging: martin.grealy@xdr.hhchealthdirect.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1568624450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RETREAT AVE",
            "address_2": "HARTFORD HOPSITAL PSYCHIATRY DEPARTMENT",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063309",
            "telephone_number": "860-519-3600",
            "fax_number": "860-545-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RETREAT AVE",
            "address_2": "HARTFORD HOPSITAL PSYCHIATRY DEPARTMENT",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063309",
            "telephone_number": "860-519-3600",
            "fax_number": "860-545-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREALY",
        "first_name": "MARTIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "003407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.