Hali Vaclavik, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11101 Issued in CT

Practice address

214C Providence Rd
Brooklyn, CT 06234-1833

Phone

(860) 351-3363

Fax

(860) 407-3786

NPI assigned

Apr 30, 2020

Last updated

Jul 23, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: halim.vaclavik@xdr.hhchealthdirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Natchaug Hospital, Inc.

  • Psychiatric Hospital
  • Mansfield Center, CT
  • NPI 1295811321
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1124649298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CLEAR VIEW DR",
            "city": "BROOKLYN",
            "state": "CT",
            "postal_code": "062342016",
            "telephone_number": "401-230-2770",
            "fax_number": "860-407-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214C PROVIDENCE RD",
            "city": "BROOKLYN",
            "state": "CT",
            "postal_code": "062341833",
            "telephone_number": "860-351-3363",
            "fax_number": "860-407-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACLAVIK",
        "first_name": "HALI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-30",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "11101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Nolen Elizabeth Shannon Nolen, BCBA
• Anna Sortwell, LCSW
• The Learning Clinic, Inc.
• The Mortlake Fire Company of Brooklyn Connecticut Inc
• Joseph Toner, D.D.S.
• Brenda Lee Viens
• Village Healthcare Service LLC
• Wal-Mart Stores East LP (WalMart Pharmacy 10-5777)
• Wal-Mart Stores East, LP (Wal-Mart Vision Center 30-5777)
• Gregg Olin Wilcox, DMD

• Clinical Social Worker in Brooklyn, CT
• Providers in Brooklyn, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.