Active NPI
Judith Ann Palinkas, LCSW
- Clinical Social Worker
- West Hartland, CT
National Provider Identifier
1750360756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 310 Center St
West Hartland, CT 06091-4307 - Phone
- (860) 238-7520
- Fax
- (860) 738-9956
- NPI assigned
- Jan 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CT | Primary |
Addresses
Primary practice location
310 Center St
West Hartland, CT 06091-4307
Mailing address
310 Center St
West Hartland, CT 06091-4307
Phone (860) 238-7520
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 800003543CT | Other | CT | MEDICARE IDENTIFICATION NUMBER |
| 522914 | Other | MAGELLAN | |
| 2032678 | Other | CIGNA | |
| 7077305 | Other | AETNA | |
| 350892 | Other | VALUE OPTION VENDOR | |
| 004198942 | Medicaid | CT | |
| 140004529CT02 | Other | BC | |
| 303644 | Other | CTCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4529 | CT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366329600000",
"number": "1750360756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 CENTER ST",
"city": "WEST HARTLAND",
"state": "CT",
"postal_code": "060914307",
"telephone_number": "860-238-7520",
"fax_number": "860-738-9956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 CENTER ST",
"city": "WEST HARTLAND",
"state": "CT",
"postal_code": "060914307",
"telephone_number": "860-238-7520",
"fax_number": "860-738-9956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALINKAS",
"first_name": "JUDITH",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-10",
"last_updated": "2013-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE IDENTIFICATION NUMBER",
"identifier": "800003543CT",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "522914",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2032678",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7077305",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTION VENDOR",
"identifier": "350892",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004198942",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC",
"identifier": "140004529CT02",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CTCARE",
"identifier": "303644",
"state": null
}
],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.