Jose Angel Avila Jr., LCSW
Individual provider Active NPI Clinical Social Worker · Hartford, CT
NPI 1780187542 · NPPES record last updated Jan 10, 2026
Key facts
- NPI
- 1780187542
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 011257 (CT)
- Practice address
- 674 Prospect Ave Ste 203
Hartford, CT 06105-4288 - Phone
- (860) 785-0590
- NPI assigned
- Mar 17, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
674 Prospect Ave
Suite 203
Hartford, CT 06105-4288
Phone (860) 785-0590
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201215001390 | CT | Practitioner - Clinical Social Worker | 4688086713 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011257 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Connecticut | Current |
Accepting new patients | |
| State of Connecticut | Current |
Accepting new patients | |
| Casiano Clinical Services, LLC | Past | Accepting new patients |
Locations
450 Columbus Blvd
Ste 1001
Hartford, CT 06103
500 Vine St
Hartford, CT 06112
Phone (860) 293-6400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 011257 | CT | Yes |
Addresses
Primary practice location
674 Prospect Ave Ste 203
Hartford, CT 06105-4288
Mailing address
674 Prospect Ave Ste 203
Hartford, CT 06105-4288
Phone (860) 785-0590
Other providers in Hartford, CT
- Avalon Psychological Group, P.C.
- Donna Marie Avanecean
- Avantgarde Caring Hearts and Hands LLC
- Ricardo R Avendano Avelar
- Heather Avery
- Jessica Aviles
- Diane M. Avino
- Avon Medical Pharmacy
- Avon Medical Pharmacy
- Avon Medical Pharmacy Inc
All providers in Hartford, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.