Provider Demographics
NPI:1659984193
Name:GREGOIRE, ALEXIS (MSW)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:GREGOIRE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:ALEXIS
Other - Middle Name:
Other - Last Name:SPINNATO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 120
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:CT
Mailing Address - Zip Code:06320-0120
Mailing Address - Country:US
Mailing Address - Phone:860-437-4550
Mailing Address - Fax:860-661-4262
Practice Address - Street 1:7 VAUXHALL ST
Practice Address - Street 2:
Practice Address - City:NEW LONDON
Practice Address - State:CT
Practice Address - Zip Code:06320-5711
Practice Address - Country:US
Practice Address - Phone:860-437-4550
Practice Address - Fax:860-661-4262
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-25
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker