Individual provider Active NPI

Aleksandra Wielogorski, LCSW

  • Clinical Social Worker
  • Milford, CT
National Provider Identifier
1790348639
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
014445 Issued in CT
Practice address
949 Bridgeport Ave
Milford, CT 06460-3142
Phone
(203) 878-6365
Fax
(203) 301-2397
NPI assigned
Apr 16, 2019
Last updated
Sep 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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 014445 CT Primary

Addresses

Primary practice location

949 Bridgeport Ave
Milford, CT 06460-3142

Mailing address

28 Peck St
Milford, CT 06460-2514
Phone (203) 645-0836

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
I20241010000078 CT Practitioner - Clinical Social Worker 2769914167 Reassigns benefits to 2 organizations

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
TrinitynpGroup PAC ID 7315450723, 5 clinicians
Bridges Healthcare IncGroup PAC ID 3971401365, 33 clinicians

Practice addresses (Care Compare)

460 C Naugatuck Ave
Milford, CT 06460-5049
Phone (203) 951-1719

949 Bridgeport Ave
Milford, CT 06460-3142
Phone (203) 878-6365

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
014445CTMDClinical Social Worker
14445CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinitynp CurrentSince Dec 1, 2025 Accepting new patients
Bridges Healthcare Inc. CurrentSince Sep 6, 2024 Accepting new patients
Remind LLC Clinical Past Accepting new patients

Locations

460 Naugatuck Ave
#C
Milford, CT 06460
Phone (203) 951-1719

949 Bridgeport Ave
Milford, CT 06460
Phone (203) 301-2308

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/bridgesct/r4/

Organizations & group practices 3

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": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1790348639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 PECK ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064602514",
            "telephone_number": "203-645-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 BRIDGEPORT AVE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603142",
            "telephone_number": "203-878-6365",
            "fax_number": "203-301-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIELOGORSKI",
        "first_name": "ALEKSANDRA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "014445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

Verify at the official NPI Registry.