Active NPI
Mallory Anne Grimste, LCSW
- Social Worker
- Branford, CT
National Provider Identifier
1841591609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 250 W Main St Ste 203
Branford, CT 06405-4032 - Phone
- (203) 228-8971
- Fax
- (203) 429-8628
- NPI assigned
- Nov 10, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
250 W Main St Ste 203
Branford, CT 06405-4032
Mailing address
250 W Main St Ste 203
Branford, CT 06405-4032
Phone (203) 228-8971
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 7, 2023 through Dec 7, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 091533 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| 008407 | CT | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mallory Grimste LLC | Current | Accepting new patients |
Locations
250 W Main St
Ste 203
Branford, CT 06405
Phone (203) 228-8971
30 Hazel Ter
Ste 12
Woodbridge, CT 06525
Phone (203) 228-8971
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759708800000",
"number": "1841591609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 W MAIN ST STE 203",
"city": "BRANFORD",
"state": "CT",
"postal_code": "064054032",
"telephone_number": "203-228-8971",
"fax_number": "203-429-8628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 W MAIN ST STE 203",
"city": "BRANFORD",
"state": "CT",
"postal_code": "064054032",
"telephone_number": "203-228-8971",
"fax_number": "203-429-8628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIMSTE",
"first_name": "MALLORY",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-10",
"last_updated": "2025-10-06",
"certification_date": "2025-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Branford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.