Courage to Be LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

COURAGE TO BE LLC

Practice address

34 Jerome Ave Ste 116
Bloomfield, CT 06002-2463

Phone

(860) 245-1027

NPI assigned

May 28, 2019

Organization subpart

No

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

Authorized official

Name

Yanique J GrantNPI 1649638735

Title

Clinical Social Worker

Phone

(860) 245-1027

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Yanique Grant, LCSW

  • Clinical Social Worker
  • Hartford, CT
  • NPI 1649638735
  NPD Authorized official

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559001600000",
    "number": "1629635412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 MONTOWESE ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061143041",
            "telephone_number": "860-245-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 JEROME AVE STE 116",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022463",
            "telephone_number": "860-245-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGE TO BE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-05-28",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "YANIQUE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "860-245-1027"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649638735",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Coppa, PT
• Patrick Joseph Corcoran, M.D.
• Jason M. Cornelio, PA-C
• Cottage Grove Audiology & Hearing AIDS Inc
• Cottage Grove Cardiology, P.C.
• James W Cox-Chapman, MD
• Danielle Marie Crichton, OTD, OTR/L
• Juanita Crispin
• Orisha Crooms, LMSW
• Nadine Debra-Ann Cross, RPH

• Clinical Social Worker in Bloomfield, CT
• Providers in Bloomfield, 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 May 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.