Individual provider Active NPI

Karen Maddox Manukas-Griffin, L.C.S.W

  • Clinical Social Worker
  • Hamden, CT
National Provider Identifier
1891857900
Registry record updated Oct 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
003107 Issued in CT
Practice address
3208 Whitney Ave
Hamden, CT 06518-2158
Phone
(203) 281-4299
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 003107 CT Primary

Addresses

Primary practice location

3208 Whitney Ave
Hamden, CT 06518-2158

Mailing address

39 Braeside Dr
Hamden, CT 06514-1644
Phone (203) 281-4299

Other identifiers 1

IdentifierTypeStateIssuer
079441OtherCTMHN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120222000392 CT Practitioner - Clinical Social Worker 1355509340 Practice locations: Hamden, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3208 Whitney Ave
Hamden, CT 06518-2158
Phone (203) 281-4299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003107CTMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477699200000",
    "number": "1891857900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 BRAESIDE DR",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065141644",
            "telephone_number": "203-281-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065182158",
            "telephone_number": "203-281-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUKAS-GRIFFIN",
        "first_name": "KAREN",
        "middle_name": "MADDOX",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2016-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "003107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "079441",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.