Active NPI
Tamara Grant, LCSW
- Clinical Social Worker
- Hamden, CT
National Provider Identifier
1831863307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904014404
- Practice address
- 40 Putnam Ave # 6243
Hamden, CT 06517-9998 - Phone
- (203) 606-8415
- NPI assigned
- Aug 6, 2021
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 011484 | CT | |
| Clinical Social Worker | 1041C0700X | 17501 | SC | |
| Clinical Social Worker | 1041C0700X | SW23614 | FL | |
| Clinical Social Worker | 1041C0700X | 44SC06175500 | NJ | |
| Clinical Social Worker | 1041C0700X | 0904014404 | VA | Primary |
Addresses
Primary practice location
40 Putnam Ave # 6243
Hamden, CT 06517-9998
Mailing address
40 Putnam Ave # 6243
Hamden, CT 06517-9998
Phone (203) 606-8415
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004039244 | Medicaid | CT |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011484 | CT | MD | Clinical Social Worker |
| SW23614 | FL | MD | Clinical Social Worker |
| 44SC06175500 | NJ | MD | Clinical Social Worker |
| 0904014404 | VA | MD | Clinical Social Worker |
| 17501 | SC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773187200000",
"number": "1831863307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 PUTNAM AVE # 6243",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065179998",
"telephone_number": "203-606-8415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 PUTNAM AVE # 6243",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065179998",
"telephone_number": "203-606-8415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "TAMARA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-06",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "011484",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "17501",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW23614",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC06175500",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904014404",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004039244",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.