Individual provider Active NPI

Alexandra Juchniewicz, LCSW

  • Clinical Social Worker
  • Hartford, CT
National Provider Identifier
1235748740
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
012322 Issued in CT
Practice address
200 Retreat Ave
Hartford, CT 06106-3309
Phone
(860) 545-7070
NPI assigned
Jul 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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 012322 CT Primary

Addresses

Primary practice location

200 Retreat Ave
Hartford, CT 06106-3309

Mailing address

200 Retreat Ave
Hartford, CT 06106-3309
Phone (860) 545-7070

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
I20240813002058 CT Practitioner - Clinical Social Worker 1557809266 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
Hartford HospitalGroup PAC ID 2567366016, 1,040 clinicians

Practice addresses (Care Compare)

100 Retreat Ave
Hartford, CT 06106-2508
Phone (860) 549-7970

100 Retreat Ave
Hartford, CT 06106-2528
Phone (860) 545-5000

111 Park St
Hartford, CT 06106-2520
Phone (860) 972-2780

118 Main St
Hartford, CT 06106-1817
Phone (860) 827-7690

119 Washington St
Hartford, CT 06106-4406
Phone (860) 827-7690

150 Charter Oak Ave
Hartford, CT 06106-5102
Phone (860) 827-7690

151 Hillside Ave
Hartford, CT 06106-3527
Phone (860) 951-1060

175 Main St
Hartford, CT 06106-1818
Phone (860) 827-7690

200 Retreat Ave
Iol Compus
Hartford, CT 06106-3310
Phone (860) 545-7500

282 Washington St
Hartford, CT 06106-3322

560 Hudson St
Suite 253
Hartford, CT 06106-2501
Phone (860) 972-4444

614 New Britain Ave
Hartford, CT 06106-4033
Phone (860) 827-7690

705 New Britain Ave
Avery Heights
Hartford, CT 06106-4039
Phone (860) 527-4663

75 Main St
Hartford, CT 06106-1806
Phone (860) 827-7690

80 Seymour St
Hartford, CT 06102-8000
Phone (860) 545-7500

85 Seymour St
Hartford, CT 06106-5501
Phone (860) 827-7690

90 Retreat Ave
Hartford, CT 06106-2535
Phone (860) 560-2274

Hospital & facility affiliations

  • Hartford Hospital Hospital, Hartford, CT, CCN 070025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012322CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Hospital CurrentSince Jun 30, 2024 Accepting new patients
Hartford Hospital CurrentSince Jun 30, 2024 Accepting new patients

Locations

200 Retreat Ave
Hartford, CT 06106
Phone (860) 545-7000

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1235748740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RETREAT AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063309",
            "telephone_number": "860-545-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RETREAT AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063309",
            "telephone_number": "860-545-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUCHNIEWICZ",
        "first_name": "ALEXANDRA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "012322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.