Active NPI
Celina Elena Fernandez-Ayala, LMSW
- Social Worker
- Hartford, CT
National Provider Identifier
1083471809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 9235
- Practice address
- 682 Prospect Ave Ste 103
Hartford, CT 06105-4238 - Phone
- (860) 663-8131
- NPI assigned
- Feb 28, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 9235 | CT | Primary |
Addresses
Primary practice location
682 Prospect Ave Ste 103
Hartford, CT 06105-4238
Mailing address
475 Orange St
New Haven, CT 06511-3807
Phone (203) 671-3636
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 |
|---|---|---|---|
| 9235 | CT | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Your Peace of Mind Therapeutic Services, LLC | Current | Accepting new patients |
Locations
682 Prospect Ave
Ste 103
Hartford, CT 06105
Phone (860) 490-7236
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Hartford, CT
- NPI 1821799396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1083471809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 ORANGE ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065113807",
"telephone_number": "203-671-3636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "682 PROSPECT AVE STE 103",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061054238",
"telephone_number": "860-663-8131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ-AYALA",
"first_name": "CELINA",
"middle_name": "ELENA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-28",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "9235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.