Healthcare Provider Details

I. General information

NPI: 1770488017
Provider Name (Legal Business Name): JOCELYN ALICEA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 PARK AVE
DANBURY CT
06810-7554
US

IV. Provider business mailing address

109 PARK AVE APT 5
DANBURY CT
06810-7588
US

V. Phone/Fax

Practice location:
  • Phone: 203-300-8521
  • Fax:
Mailing address:
  • Phone: 203-300-8521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number100714
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number15964
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: