Individual provider Active NPI

Yolanda Liriano, MSW, LCSW

  • Clinical Social Worker
  • East Hartford, CT
National Provider Identifier
1265977276
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
474R School St
East Hartford, CT 06108-1149
Phone
(860) 731-8811
Fax
(860) 731-8813
NPI assigned
Dec 29, 2016
Last updated
Dec 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 009412 CT
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

474R School St
East Hartford, CT 06108-1149

Mailing address

21 Ellsworth Street
#2
Hartford, CT 06114
Phone (860) 299-3126

Other practice location 1

21 Ellsworth Street
#2
Hartford, CT 06114
Phone (860) 299-3126

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
I20190110002294 CT Practitioner - Clinical Social Worker 8426394537 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009412CTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Resources, Inc. CurrentSince Nov 13, 2018 Accepting new patients
Connecticut Children's Specialty Group, Inc. CurrentSince Feb 1, 2019 Accepting new patients
Connecticut Children's Specialty Group, Inc. CurrentSince Feb 1, 2019 Accepting new patients

Locations

474 School St
#R
East Hartford, CT 06108
Phone (860) 730-8811

153 Hazard Ave
Enfield, CT 06082
Phone (860) 253-5020

10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619

282 Washington St
Hartford, CT 06106
Phone (860) 545-8950

2 Waterside Xing
Ste 401
Windsor, CT 06095

Interoperability endpoints

  • Direct secure messaging: yolanda.liriano.p1@direct.wheelerclinic.nextgenshare.com
  • Direct secure messaging: yolanda.lirianokimbrough.p1@direct.cpi.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1265977276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 ELLSWORTH STREET",
            "address_2": "#2",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06114",
            "telephone_number": "860-299-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474R SCHOOL ST",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061081149",
            "telephone_number": "860-731-8811",
            "fax_number": "860-731-8813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Ellsworth Street",
            "address_2": "#2",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "06114",
            "country_code": "US",
            "telephone_number": "860-299-3126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIRIANO",
        "first_name": "YOLANDA",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-29",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "009412",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hartford, CT

Sources for this page

Verify at the official NPI Registry.