JOSE AVILA LLC
NPI 1710574835
Social Worker - Clinical in Hartford, CT

Q: What is Jose Avila LLC's NPI number?

The NPI number for Jose Avila LLC is 1710574835. It was assigned to this organization in the NPPES registry on December 22, 2020.

Q: What is Jose Avila LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jose Avila LLC was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since December 22, 2020

100 PEARL ST FL 14, HARTFORD, CT 06103(860) 785-0590 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: May 5, 2025, Dec 22, 2020 (2 updates tracked since 2020).

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About Jose Avila Llc NPPES

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

JOSE AVILA LLC (NPI 1710574835) is a healthcare organization registered as a clinical in Hartford, Connecticut and active in the NPI registry since December 2020. The organization lists Jose Angel Avila, Lcsw/ceo, as its authorized official.

NPPES Registry Identity

NPI1710574835

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameJOSE AVILA LLC

Location Address100 PEARL ST FL 14Hartford, CT 06103-4500

Mailing Address122 Arnold StHartford, CT 06106-3507 · (860) 785-0590

Phone(860) 785-0590

Organization SubpartNo

Authorized OfficialJose Angel AvilaLcsw/ceo · (860) 785-0590

Enumeration DateDecember 22, 2020

Last NPPES UpdateMay 5, 20252 updates tracked since enumeration

NPPES CertifiedMay 5, 2025

✔ NPI 1710574835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

100 PEARL ST FL 14, Hartford, CT 06103

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

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

LAUREN MODZELEWSKI

Social Worker (Clinical)