IndividualActive
Alyssa Axelrod, LCSW
NPI 1114498268 · Clinical Social Worker · Wallingford, CT
Provider details
- NPI number
- 1114498268
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 11167 (CT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Practice location
17 Blakeslee Rd
Wallingford, CT 06492-5212
Phone: (203) 868-1853
Approximate (ZIP-level) locationGet directions
Mailing address
17 Blakeslee Rd
Wallingford, CT 06492-5212
Additional practice locations (2)
- 43 Woodland StHartford, CT 06105-2363Phone: (203) 868-1853
- 791 S Main StPlantsville, CT 06479-1519Phone: (860) 378-8090
Registry dates
- Enumerated
- 2018-12-16
- Last updated
- 2022-08-31
- Certified
- 2022-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.