Organization
COURAGE TO GROW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN J ISAAC LCSW (OWNER)
(860) 664-3592
Entity
Organization
Contact information
Practice address
162 B EAST MAIN STREET, COURAGE TO GROW, LLC, CLINTON, CT 06413
(860) 664-3592
(860) 664-3906
Mailing address
162 B EAST MAIN STREET, CLINTON, CT 06413
(860) 664-3592
(860) 664-3906
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005911
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0062-0087436
UNITED HEALTHCARE SERVICES, INC.
CT
05
—
008002029
—
CT
01
—
140005911CT01
ANTHEM
CT
01
—
469787
MHN
CT
01
—
9560177
AETNA
CT
01
—
P4074057
OXFORD
CT
Enumeration date
07/26/2011
Last updated
07/26/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up