Organization Active NPI

Effective Community Services TLC LLC

  • Clinical Social Worker
  • New Haven, CT
National Provider Identifier
1861256497
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Jul 23, 2024

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.