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MRS. ALYSSA JEANNETTE AXELROD LCSW
NPI 1114498268
Social Worker - Clinical in Wallingford, CT

Active since December 16, 2018
17 BLAKESLEE RD, WALLINGFORD, CT 06492(203) 868-1853 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 31, 2022, Sep 25, 2020, Dec 16, 2018 (3 updates tracked since 2018).

About Mrs. Alyssa Jeannette Axelrod Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ALYSSA JEANNETTE AXELROD LCSW (NPI 1114498268) is an individual clinical provider in Wallingford, Connecticut, licensed in Connecticut (11167) and active in the NPI registry since December 2018. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1114498268
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. ALYSSA JEANNETTE AXELRODCredential: LCSW
Location Address17 BLAKESLEE RDWallingford, CT 06492-5212
Mailing Address17 Blakeslee RdWallingford, CT 06492-5212 · (203) 868-1853
Phone(203) 868-1853
Sole ProprietorYes
Enumeration DateDecember 16, 2018
Last NPPES UpdateAugust 31, 20223 updates tracked since enumeration
NPPES CertifiedAugust 31, 2022
✔ NPI 1114498268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CT · 11167
Definition
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 11167 (CT)
17 BLAKESLEE RD, Wallingford, CT 06492
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Secondary Practice Locations 2

Location 143 Woodland StHartford, CT 06105-2363 · Phone (203) 868-1853
Location 2791 S Main StPlantsville, CT 06479-1519 · Phone (860) 378-8090

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALYSSA AXELROD LCSW LLC
Clinic/Center (Adult Mental Health)
17 BLAKESLEE RD
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 654-5839
MRS. PAULA M. CAPPOLA M.A., CCC-SLP
Speech-Language Pathologist
17 BLAKESLEE RD
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 265-6520

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alyssa Axelrod's NPI number?

The NPI number for Alyssa Axelrod is 1114498268. It was assigned to this individual provider in the NPPES registry on December 16, 2018.

Where is Alyssa Axelrod located?

Alyssa Axelrod practices at 17 Blakeslee Rd, Wallingford, CT 06492. The listed phone number is (203) 868-1853.

What is Alyssa Axelrod's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Alyssa Axelrod was last updated on August 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.