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JOSE ANGEL AVILA JR. LCSW
NPI 1780187542
Social Worker - Clinical in Hartford, CT

Active since March 17, 2018PECOS Enrolled
90.97/100
CMS Quality Rating
674 PROSPECT AVE STE 203, HARTFORD, CT 06105(860) 785-0590 Get Directions Write a Review

NPPES record last updated: January 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 10, 2026, May 5, 2025, Dec 22, 2020 and 1 more (4 updates tracked since 2018).

About Jose Angel Avila Jr. Lcsw NPPES

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

JOSE ANGEL AVILA JR. LCSW (NPI 1780187542) is an individual clinical provider in Hartford, Connecticut, licensed in Connecticut (011257) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1780187542
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJOSE ANGEL AVILA JR.Credential: LCSW
Location Address674 PROSPECT AVE STE 203Hartford, CT 06105-4288
Mailing Address674 Prospect Ave Ste 203Hartford, CT 06105-4288 · (860) 785-0590
Phone(860) 785-0590
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 17, 2018
Last NPPES UpdateJanuary 10, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2026
✔ NPI 1780187542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CT · 011257
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.
674 PROSPECT AVE STE 203, Hartford, CT 06105
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jose Angel Avila Jr. Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688086713
PECOS Enrollment IDI20201215001390
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jose Avila reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jose Avila LLC
2.1 mi
Clinical
100 PEARL ST FL 14
Hartford, CT 06103
  • Reassigned Medicare billing, Connecticut enrollment
NPI 1710574835 (860) 785-0590
State Of Connecticut
2.4 mi
Psychiatric Hospital
500 VINE STREET
Hartford, CT 06112
  • Reassigned Medicare billing, Connecticut enrollment
  • 109 clinicians in this Medicare group
NPI 1487689022 (860) 297-0975

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.95
Improvement Activities40

Other Providers at the Same Location NPPES

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

NOEMI SUAREZ LCSW
Social Worker (Clinical)
674 PROSPECT AVE STE 203
HARTFORD, CT 06105
Capitol Planning Region (860) 483-8325

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 Jose Avila's NPI number?

The NPI number for Jose Avila is 1780187542. It was assigned to this individual provider in the NPPES registry on March 17, 2018.

Where is Jose Avila located?

Jose Avila practices at 674 Prospect Ave Ste 203, Hartford, CT 06105. The listed phone number is (860) 785-0590.

What is Jose Avila's specialty?

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

Is Jose Avila enrolled in Medicare?

Yes. Jose Avila is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jose Avila's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Avila reassigns Medicare benefits to 2 organizations: Jose Avila LLC (Hartford, CT) and State Of Connecticut (Hartford, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jose Avila's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jose Avila was last updated on January 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.