Provider Type Icon

JOSE AVILA LLC NPI 1710574835


NPI Information

NPI: 1710574835
Provider Name: JOSE AVILA LLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
122 ARNOLD ST
HARTFORD, CT
ZIP 06106
Phone: (860) 785-0590
Get Directions

JOSE AVILA LLC is a clinical social worker in Hartford, CT. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. JOSE AVILA LLC NPI is 1710574835. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

122 ARNOLD ST
HARTFORD, CT
ZIP 06106-507
Phone: (860) 785-0590

The provider's authorized official is Jose Angel Avila .
The authorized official title is Lcsw/ceo and has the following contact phone number (860) 785-0590.

The enumeration date for this NPI number is 12/22/2020 and was last updated on 12/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.