Active NPI
Stacey Leigh Lefever, LCSW
- Clinical Social Worker
- Norwich, CT
National Provider Identifier
1992173694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11386
- Practice address
- 102 Stonington Rd
Apt A305
Norwich, CT 06360 - Phone
- (860) 949-6668
- Fax
- (717) 390-1812
- NPI assigned
- Sep 11, 2015
- Last updated
- Apr 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW130917 | PA | |
| Clinical Social Worker | 1041C0700X | 11386 | CT | Primary |
Addresses
Primary practice location
102 Stonington Rd
Apt A305
Norwich, CT 06360
Mailing address
PO Box 428 Vireo Vita Therapy PLLC
Norwich, CT 06360
Phone (860) 949-6668
Other names 1
- Ms. Stacey Leigh Grayson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW130917 | PA | MD | Social Worker |
| 11386 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619481600000",
"number": "1992173694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 428 VIREO VITA THERAPY PLLC",
"city": "NORWICH",
"state": "CT",
"postal_code": "06360",
"telephone_number": "860-949-6668",
"fax_number": "717-390-1812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 STONINGTON RD",
"address_2": "APT A305",
"city": "NORWICH",
"state": "CT",
"postal_code": "06360",
"telephone_number": "860-949-6668",
"fax_number": "717-390-1812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEFEVER",
"first_name": "STACEY",
"middle_name": "LEIGH",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-11",
"last_updated": "2021-04-27",
"certification_date": "2021-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW130917",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "11386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STACEY",
"last_name": "GRAYSON",
"middle_name": "LEIGH",
"prefix": "MS.",
"credential": "LMSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Norwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.