Active NPI
Jessica Bialecki, LMSW
- Social Worker
- New Britain, CT
National Provider Identifier
1053966101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 75 N Mountain Rd
New Britain, CT 06053-3468 - Phone
- (860) 793-3500
- NPI assigned
- Aug 6, 2019
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Social Worker | 104100000X | Primary | ||
| Counselor | 101Y00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X |
Addresses
Primary practice location
75 N Mountain Rd
New Britain, CT 06053-3468
Mailing address
250 Brentwood Dr
Wallingford, CT 06492-4353
Phone (401) 864-8780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211230001701 | CT | Practitioner - Clinical Social Worker | 7911398920 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wheeler Clinic Inc
Practice addresses (Care Compare)
40 Hart St
New Britain, CT 06052-1759
Phone (860) 793-3500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- jessica.bialecki.p1@direct.wheelerclinic.nextgenshare.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Plainville, CT
- NPI 1396750840
CT
-
- Federally Qualified Health Center (FQHC)
- Waterbury, CT
- NPI 1265098180
-
- Federally Qualified Health Center (FQHC)
- Bristol, CT
- NPI 1790532802
-
- Federally Qualified Health Center (FQHC)
- Plainville, CT
- NPI 1871108076
-
- Federally Qualified Health Center (FQHC)
- Bristol, CT
- NPI 1164987301
-
- Federally Qualified Health Center (FQHC)
- New Britain, CT
- NPI 1285203612
-
- Federally Qualified Health Center (FQHC)
- Hartford, CT
- NPI 1518467174
-
- Federally Qualified Health Center (FQHC)
- Bristol, CT
- NPI 1548760119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565049600000",
"number": "1053966101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 BRENTWOOD DR",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064924353",
"telephone_number": "401-864-8780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 N MOUNTAIN RD",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060533468",
"telephone_number": "860-793-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIALECKI",
"first_name": "JESSICA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-06",
"last_updated": "2019-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Britain, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.