Individual provider Active NPI

Adalicia Ramos, LCSW

  • Clinical Social Worker
  • West Hartford, CT
National Provider Identifier
1689159691
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4180 Issued in CT
Practice address
17 S Highland St
West Hartford, CT 06119-1826
Phone
(860) 543-3867
Fax
(860) 243-4418
NPI assigned
Sep 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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 4180 CT Primary

Addresses

Primary practice location

17 S Highland St
West Hartford, CT 06119-1826

Mailing address

17 S Highland St
West Hartford, CT 06119-1826
Phone (860) 543-3867

Other practice location 1

157 Charter Oak Ave
Hartford, CT 06106-1913
Phone (860) 515-2363

Other names 1

  • Adalicia Colon Former name

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
I20210902002038 CT Practitioner - Clinical Social Worker 5698171437 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4180CTMDProfessional Counselor
11568CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mellahealth LLC Clinical CurrentSince May 4, 2021 Accepting new patients
Ruby Psychiatric Services, PLLC PastSince May 4, 2021 Accepting new patients

Locations

125 Lasalle Rd
Ste 300
West Hartford, CT 06107
Phone (860) 342-8192

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": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1689159691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 S HIGHLAND ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191826",
            "telephone_number": "860-543-3867",
            "fax_number": "860-243-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 S HIGHLAND ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191826",
            "telephone_number": "860-543-3867",
            "fax_number": "860-243-4418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "157 Charter Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061061913",
            "country_code": "US",
            "telephone_number": "860-515-2363",
            "fax_number": "860-243-4418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "ADALICIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "4180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADALICIA",
            "last_name": "COLON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.