Grace Haven LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GRACE HAVEN LLC

Practice address

79 Forbes St
East Hartford, CT 06108-3717

Phone

(203) 893-6814

NPI assigned

May 26, 2026

Organization subpart

No

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

Authorized official

Name

Letriece C Perry, LCSWNPI 1528396181

Title

Owner

Phone

(203) 893-6814

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Letriece C Perry, MSW

  • Social Worker
  • Hartford, CT
  • NPI 1528396181
  NPD Authorized official
• Semoy Lester

  • Student in an Organized Health Care Education/Training Program
  • Bristol, CT
  • NPI 1972469161
  NPD (past)

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

{
    "created_epoch": "1779753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1962333435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 FORBES ST",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 FORBES ST",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083717",
            "telephone_number": "203-893-6814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "LETRIECE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-893-6814",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Gordon, P.A.
• Lucas Peter Gordon
• Teleyah Gordon, RN
• Shira Gore
• Shrushti Gosar
• Gianna Rae Grafton
• Kimberly Grant
• Sarah Grasso, CRNA
• Courtney Ann Green, RDH
• Kristian Marie Greene

• Clinical Social Worker in East Hartford, CT
• Providers in East Hartford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.

Verify at the official NPI Registry.