MS. ALICIA G. NIETO (LICSW) – Adult Mental Health Clinic/Center, NPI 1972676054
Adult Mental Health Clinic/Center
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,153 CLINICAL SOCIAL WORKER in CT
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Provider Addresses for MS. ALICIA G. NIETO (LICSW)
509, Wethersfield Avenue, South End, Frog Hollow, Coltville, Hartford, Connecticut, 06114, United States
HARTFORD, CT 061141907
Phone: (860) 296-2121
Type: Location
29, Kelsey Street, Fairfield Avenue Historic District, Hartford, Connecticut, 06106, United States
HARTFORD, CT 061064337
Phone: (860) 956-7924
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-03-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040820000653 | I | Clinical Social Worker | MA | TBD |
| I20100323000900 | I | Clinical Social Worker | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes | 161 | 12 | $0 |
Insurance plans in this area (ZIP 06114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | MA | |
| Clinical Social Worker | MA | |
| Nurse Practitioner | TX | |
| Clinical Social Worker | MA | |
| Nurse Practitioner | MA |
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