Active NPI
Alexis Lyn Verrill, LMSW
- Social Worker
- West Hartford, CT
National Provider Identifier
1700565017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6151
- Practice address
- 345 N Main St Ste 317
West Hartford, CT 06117-2508 - Phone
- (860) 937-3875
- NPI assigned
- Jul 13, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6151 | CT | Primary |
Addresses
Primary practice location
345 N Main St Ste 317
West Hartford, CT 06117-2508
Mailing address
775 Barnes Rd Apt C
Wallingford, CT 06492-6015
Phone (603) 716-1989
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
230 Main St Ext
Middletown, CT 06457-4470
Phone 86034353003421
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6151 | CT | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Behavioral Health, PC | Past | Accepting new patients |
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.
-
- Adult Mental Health Clinic/Center
- Middletown, CT
- NPI 1518948025
-
- Child & Adolescent Psychiatry Physician
- West Hartford, CT
- NPI 1932678919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689206400000",
"number": "1700565017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "775 BARNES RD APT C",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064926015",
"telephone_number": "603-716-1989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 N MAIN ST STE 317",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061172508",
"telephone_number": "860-937-3875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERRILL",
"first_name": "ALEXIS",
"middle_name": "LYN",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-13",
"last_updated": "2023-07-13",
"certification_date": "2023-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "6151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.