Individual provider Active NPI

Alicia G. Nieto, LICSW

  • Adult Mental Health Clinic/Center
  • Hartford, CT
National Provider Identifier
1972676054
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
004779 Issued in CT
Practice address
509 Wethersfield Ave
Hartford, CT 06114-1907
Phone
(860) 296-2121
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 004779 CT
Adult Mental Health Clinic/Center 261QM0850X 004779 CT Primary

Addresses

Primary practice location

509 Wethersfield Ave
Hartford, CT 06114-1907

Mailing address

29 Kelsey St
Hartford, CT 06106-4337
Phone (860) 956-7924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040820000653 MA Practitioner - Clinical Social Worker 5193799757 Reassigns benefits to 2 organizations
I20100323000900 CT Practitioner - Clinical Social Worker 5193799757 Reassigns benefits to 2 organizations
Practice locations: Wethersfield, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspira Counseling Center LLCGroup PAC ID 6608217062, 7 clinicians

Practice addresses (Care Compare)

425 Union St
Suite 46
West Springfield, MA 01089-3485
Phone (413) 299-2277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4779CTMDMental Health Counselor
004779CTMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Aug 20, 2024 Accepting new patients
Easter Seals Capital Region & Eastern Connecticut, Inc. Clinical CurrentSince Jan 10, 2020 Accepting new patients
Inspira Counseling Center, LLC CurrentSince Jan 1, 2025 Accepting new patients
The Carson Center Past Accepting new patients
DCS Mental Health, Inc PastSince Jan 1, 2009 Accepting new patients
Carson Center for Human Services, Inc. PastSince May 15, 2008 Accepting new patients

Locations

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

100 Deerfield Rd
Windsor, CT 06095
Phone (860) 270-0600

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

425 Union St
Ste 46
West Springfield, MA 01089
Phone (413) 299-2277

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1972676054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 KELSEY ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061064337",
            "telephone_number": "860-956-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 WETHERSFIELD AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061141907",
            "telephone_number": "860-296-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIETO",
        "first_name": "ALICIA",
        "middle_name": "G.",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "004779",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CT",
            "license": "004779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.