Active NPI
Effective Community Services TLC LLC
- Clinical Social Worker
- New Haven, CT
National Provider Identifier
1861256497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- EFFECTIVE COMMUNITY SERVICES TLC LLC
- Practice address
- 419 Whalley Ave Ste 101
New Haven, CT 06511-3019 - Phone
- (203) 439-5555
- NPI assigned
- Feb 13, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Hardy-Gardner
- Title
- Owner
- Phone
- (203) 439-5555
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
419 Whalley Ave Ste 101
New Haven, CT 06511-3019
Mailing address
73 Fernwood Rd
Hamden, CT 06517-2915
Other practice location 1
2911 Dixwell Ave Ste B-15
Hamden, CT 06518-3152
Phone (203) 439-5555
National Provider Directory
National Provider DirectoryLocations
2911 Dixwell Ave
Ste 15
Hamden, CT 06518
Phone (203) 439-5555
2911 Dixwell Ave
Ste B-15
Hamden, CT 06518
Phone (203) 439-5555
830 Grand Ave
Ste 210211
New Haven, CT 06511
Phone (203) 439-5555
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- New Haven, CT
- NPI 1245900497
-
- Clinical Social Worker
- New Haven, CT
- NPI 1699319640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721692800000",
"number": "1861256497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 FERNWOOD RD",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065172915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 WHALLEY AVE STE 101",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065113019",
"telephone_number": "203-439-5555"
}
],
"practiceLocations": [
{
"address_1": "2911 Dixwell Ave Ste B-15",
"address_purpose": "LOCATION",
"city": "Hamden",
"state": "CT",
"postal_code": "065183152",
"country_code": "US",
"telephone_number": "203-439-5555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EFFECTIVE COMMUNITY SERVICES TLC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-13",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A",
"authorized_official_last_name": "HARDY-GARDNER",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-439-5555"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.