Alston Clinical Private Practice PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ALSTON CLINICAL PRIVATE PRACTICE PLLC

Practice address

28 School St
East Granby, CT 06026-9769

Phone

(860) 836-2278

NPI assigned

Apr 7, 2021

Last updated

Apr 7, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vickie Alston, LCSWNPI 1053618579

Title

Owner/Provider

Phone

(860) 836-2278

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vickie B Alston, LCSW

  • Clinical Social Worker
  • East Granby, CT
  • NPI 1053618579
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1346829116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WYNCAIRNE",
            "city": "EAST GRANBY",
            "state": "CT",
            "postal_code": "060269642",
            "telephone_number": "860-836-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 SCHOOL ST",
            "city": "EAST GRANBY",
            "state": "CT",
            "postal_code": "060269769",
            "telephone_number": "860-836-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALSTON CLINICAL PRIVATE PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "ALSTON",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "860-836-2278",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Moffatt Agnes, RD
• Bridget Alfone, BCBA
• Vickie B Alston, LCSW
• Anchor Eye Center LLC
• Kerri Helen Anderson, APRN
• Kathleen J Armata, LMFT
• Andrelle Beverly Jr.

• Clinical Social Worker in East Granby, CT
• Providers in East Granby, 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 Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.