Individual provider Active NPI

Alane Villar, LCSW

  • Clinical Social Worker
  • Cromwell, CT
National Provider Identifier
1245508795
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
008112 Issued in CT
Practice address
1 Willowbrook Rd Ste 6
Cromwell, CT 06416-1745
Phone
(860) 830-8866
Fax
(860) 740-6132
NPI assigned
Dec 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Social Worker 1041C0700X 008112 CT Primary

Addresses

Primary practice location

1 Willowbrook Rd Ste 6
Cromwell, CT 06416-1745

Mailing address

131 Lake St
Manchester, CT 06042-3705
Phone (860) 830-8866

Other practice location 1

769 Newfield St
Ste 2
Middletown, CT 06457-1846
Phone (860) 830-8866

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
I20170912003111 CT Practitioner - Clinical Social Worker 2860765963 Reassigns benefits to 1 organization
Practice locations: Cromwell, CT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008112CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Wellness Counseling Group, LLC Clinical CurrentSince Sep 1, 2021 Accepting new patients
Jane R. Cooper Counseling & Psychotherapy, PLLC Past Accepting new patients

Locations

200 Main St
Manchester, CT 06042
Phone (860) 402-2825

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.

NPI Registry JSON

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1245508795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 LAKE ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060423705",
            "telephone_number": "860-830-8866",
            "fax_number": "860-740-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WILLOWBROOK RD STE 6",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064161745",
            "telephone_number": "860-830-8866",
            "fax_number": "860-740-6132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "769 NEWFIELD ST",
            "address_2": "STE 2",
            "address_purpose": "LOCATION",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064571846",
            "country_code": "US",
            "telephone_number": "860-830-8866",
            "fax_number": "860-740-6132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLAR",
        "first_name": "ALANE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cromwell, CT

Sources for this page

Verify at the official NPI Registry.