Hali Vaclavik, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Brooklyn, Connecticut. Her current practice location is
214c Providence Rd, Brooklyn, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 351-3363.
Hali Vaclavik is licensed to practice in Connecticut (license number 11101) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124649298.
Healthcare Provider's Profile
Full Name | Hali Vaclavik |
---|
Gender | Female |
---|
Speciality | Social Worker - Clinical |
---|
Location | 214c Providence Rd, Brooklyn, Connecticut |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124649298
- Provider Enumeration Date: 04/30/2020
- Last Update Date: 06/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 4789120031
- Enrollment ID: I20240723000628
Medical Identifiers
Medical identifiers for Hali Vaclavik such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124649298 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 11101 (Connecticut) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Hali Vaclavik allows following entities to bill medicare on her behalf.
Entity Name | Life's Journey Counseling Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1285239228 PECOS PAC ID: 6507208758 Enrollment ID: O20240521000080 |
---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Hali Vaclavik is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Hali Vaclavik, LCSW 20 Clear View Dr, Brooklyn, CT 06234-2016 Ph: (401) 230-2770 | Hali Vaclavik, LCSW 214c Providence Rd, Brooklyn, CT 06234-1833 Ph: (860) 351-3363 |
Reviews and Comments