Individual provider Active NPI

Alana Dipesa

  • Social Worker
  • Newington, CT
National Provider Identifier
1689075772
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
555 Willard Ave
Newington, CT 06111-2631
Phone
(860) 305-2727
NPI assigned
Sep 9, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

555 Willard Ave
Newington, CT 06111-2631

Mailing address

555 Willard Ave
Newington, CT 06111-2631
Phone (860) 305-2727

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
I20170124000019 CT Practitioner - Clinical Social Worker 6800178070 Reassigns benefits to 4 organizations
Practice locations: Cheshire, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kindred Psychotherapy and Consultation PLLCGroup PAC ID 3870980238, 5 clinicians

Practice addresses (Care Compare)

555 Highland Ave
Suite 21
Cheshire, CT 06410-2255
Phone (860) 305-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9246CTMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Kindred Psychotherapy and Consultation PLLC CurrentSince Mar 1, 2022 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jun 1, 2019 Accepting new patients
Hartford Healthcare Medical Group, Inc CurrentSince Mar 1, 2017 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Dec 18, 2016 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Jun 1, 2019 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Dec 18, 2016 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Past Accepting new patients

Locations

555 Highland Ave
Ste 21
Cheshire, CT 06410
Phone (860) 305-2727

555 Highland Ave
#21
Cheshire, CT 06410
Phone (860) 305-2727

1781 Highland Ave
Cheshire, CT 06410
Phone (203) 272-1990

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

Organizations & group practices 7

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": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1689075772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 WILLARD AVE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112631",
            "telephone_number": "860-305-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 WILLARD AVE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112631",
            "telephone_number": "860-305-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPESA",
        "first_name": "ALANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

Verify at the official NPI Registry.