Active NPIIndividual providerSole proprietor

Stacey Grodd, MSW, LCSW

Social Worker, Clinical in Woodbridge, Connecticut

NPI Number1891968285
Practice location
264 Amity RD, Woodbridge, CT 06525-2200
Fax
—
Last updated
April 8, 2008

Stacey Grodd is a Social Worker, Clinical based in Woodbridge, CT. Stacey Grodd practices in Woodbridge, CT and has the professional credentials of MSW, LCSW. The NPI Number for Stacey Grodd is 1891968285 and holds a License No. 003672 (CT). The current practice location address for Stacey Grodd is 264 Amity RD, Woodbridge, CT 06525-2200 and can be reached out via phone at 203-397-0011.

Provider Profile Details

NPI Number
1891968285
Provider Name
Stacey Grodd
Credential
MSW, LCSW
Provider Entity Type
Individual
Gender
Female
Address
264 Amity RD, Woodbridge, CT 06525-2200
Phone Number
203-397-0011
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
April 8, 2008
Last Update Date
April 8, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
264 Amity RD
Woodbridge, CT 06525-2200
Zip
06525-2200
Phone Number
203-397-0011
Woodbridge, CT 06525Get directions →

Provider Business Mailing Address Details

Address
264 Amity RD
Woodbridge, CT 06525-2200
City
Woodbridge
State
CT
Zip
06525-2200
Phone Number
203-397-0011

License Information

License Number
003672
License State
CT
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Stacey Grodd, MSW, LCSW?

The NPI number of Stacey Grodd, MSW, LCSW is 1891968285. It was assigned on April 8, 2008 and is currently active in the NPPES registry.

What is the specialty of Stacey Grodd, MSW, LCSW?

Stacey Grodd, MSW, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 003672.

Where does Stacey Grodd, MSW, LCSW practice?

The practice location is 264 Amity RD, Woodbridge, CT 06525-2200. The office can be reached at 203-397-0011 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1891968285 directly on the NPPES registry website.

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