Individual provider Active NPI

Aili Cordova Arisco, LCSW

  • Clinical Social Worker
  • Cheshire, CT
National Provider Identifier
1205373636
Registry record updated May 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
009001 Issued in CT
Practice address
298 S Meriden Rd
Cheshire, CT 06410-2954
Phone
(203) 843-3618
NPI assigned
Jan 24, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 009001 CT Primary

Addresses

Primary practice location

298 S Meriden Rd
Cheshire, CT 06410-2954

Mailing address

298 S Meriden Rd
Cheshire, CT 06410-2954
Phone (203) 843-3618

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170428000320 CT Practitioner - Clinical Social Worker 4486931557 Practice locations: Cheshire, CT; New Haven, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

129 Church St
Suite 702
New Haven, CT 06510-2043
Phone (203) 843-3618

555 Highland Ave
Suite 1
Cheshire, CT 06410-2205
Phone (203) 843-3618

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009001CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey F Kochiss LLC PastSince Mar 17, 2024 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496102400000",
    "number": "1205373636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 S MERIDEN RD",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102954",
            "telephone_number": "203-843-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 S MERIDEN RD",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102954",
            "telephone_number": "203-843-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOVA ARISCO",
        "first_name": "AILI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "009001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

Verify at the official NPI Registry.