Individual provider Active NPI

Alexsandra Penalbert, MSW, LCSW

  • Clinical Social Worker
  • Waterbury, CT
National Provider Identifier
1730544560
Registry record updated Nov 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9311 Issued in CT
Practice address
969 W Main St Ste 2G
Waterbury, CT 06708-2666
Phone
(203) 936-6377
NPI assigned
Dec 21, 2015
Last updated
Nov 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2022

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 9311 CT Primary

Addresses

Primary practice location

969 W Main St Ste 2G
Waterbury, CT 06708-2666

Mailing address

5 Ellsworth Ave
Apt. a
Danbury, CT 06810-5952
Phone (203) 788-0062

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
I20230405001152 CT Practitioner - Clinical Social Worker 6103103395 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Center IncGroup PAC ID 0547169138, 149 clinicians

Practice addresses (Care Compare)

41 New St
Danbury, CT 06810-6512
Phone (203) 796-1661

969 W Main St
Suite 2G
Waterbury, CT 06708-2666
Phone (203) 788-0062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center Inc CurrentSince Jul 29, 2024 Accepting new patients
The Healing Spot LLC Clinical CurrentSince Dec 28, 2022 Accepting new patients
Community Health Center Inc Clinical CurrentSince Jul 29, 2024 Accepting new patients
Home of Hope, Inc. Clinical Past Accepting new patients
A Prospering Vision, LLC Clinical PastSince Dec 5, 2015 Accepting new patients

Locations

969 W Main St
Ste 2G
Waterbury, CT 06708
Phone (203) 697-8983

Interoperability endpoints

  • Direct secure messaging: alexsandra.penalbert@chcict.eclinicaldirectplus.com

Organizations & group practices 5

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": "1450656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669507200000",
    "number": "1730544560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ELLSWORTH AVE",
            "address_2": "APT. A",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105952",
            "telephone_number": "203-788-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 W MAIN ST STE 2G",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082666",
            "telephone_number": "203-936-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENALBERT",
        "first_name": "ALEXSANDRA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-21",
        "last_updated": "2022-11-27",
        "certification_date": "2022-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "9311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.