Individual provider Active NPI

Wakana Hirota, LCSW

  • Clinical Social Worker
  • Rocky Hill, CT
National Provider Identifier
1760823991
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
008058 Issued in CT
Practice address
1090 Elm St
Suite 104
Rocky Hill, CT 06067-1849
Phone
(860) 384-9477
NPI assigned
Jul 16, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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 008058 CT Primary

Addresses

Primary practice location

1090 Elm St
Suite 104
Rocky Hill, CT 06067-1849

Mailing address

1090 Elm St
Suite 104
Rocky Hill, CT 06067-1849
Phone (860) 384-9477

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
I20240925001563 CT Practitioner - Clinical Social Worker 3072054410 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008058CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Jul 21, 2024 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Jul 21, 2024 Accepting new patients
Midstate Medical Center Current Accepting new patients
Midstate Medical Center CurrentSince Jul 21, 2024 Accepting new patients
Midstate Medical Center CurrentSince Jul 21, 2024 Accepting new patients
New Leaf Institute of Behavioral Health LLC Clinical Past Accepting new patients

Locations

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

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

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Organizations & group practices 6

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": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1760823991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 ELM ST",
            "address_2": "SUITE 104",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060671849",
            "telephone_number": "860-384-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 ELM ST",
            "address_2": "SUITE 104",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060671849",
            "telephone_number": "860-384-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIROTA",
        "first_name": "WAKANA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Hill, CT

Sources for this page

Verify at the official NPI Registry.