Individual provider · Type 1 NPI

Anjali Illescas, LCSW

Clinical Social Worker · Waterbury, CT

NPI number 1427897115 Active

Practice location

56 Franklin St Ste 1
Waterbury, CT 06706-1281

Call (203) 709-6000 Map

Mailing address

56 Franklin St
Waterbury, CT 06706-1253

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X012857 (CT)

Clinical Social Worker: 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 interpers…

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About NPI 1427897115

Anjali Illescas, LCSW's National Provider Identifier is 1427897115, issued on May 22, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Waterbury, CT. The record was last updated on Aug 6, 2025.