Organization Active NPI

Cheryl Grezlik, LCSW, LLC

  • Clinical Social Worker
  • Plantsville, CT
National Provider Identifier
1639698673
Registry record updated Sep 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006435 Issued in CT
Legal business name
CHERYL GREZLIK, LCSW, LLC
Practice address
710 Main St BLDG 1
Plantsville, CT 06479-1568
Phone
(860) 324-4787
NPI assigned
Sep 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2017

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

Authorized official

Name
Cheryl Grezlik, LCSW
Title
Owner, LCSW
Phone
(860) 324-4787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 006435 CT Primary

Addresses

Primary practice location

710 Main St BLDG 1
Plantsville, CT 06479-1568

Mailing address

1190 Woodruff St
Southington, CT 06489-2955

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505088000000",
    "number": "1639698673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 WOODRUFF ST",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 MAIN ST BLDG 1",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791568",
            "telephone_number": "860-324-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERYL GREZLIK, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-11",
        "last_updated": "2017-09-11",
        "status": "A",
        "authorized_official_last_name": "GREZLIK",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OWNER, LCSW",
        "authorized_official_telephone_number": "860-324-4787",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantsville, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2017; 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.