2026 NPPES data Social Worker NPI 1093233421
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CRISTAL ALICEA

Social Worker in DERBY, Connecticut. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
MIPS score
83.3087/100
▲ 0 pts above national avg 83.1 · [object Object]
What the federal data reveals: CRISTAL ALICEA is a Social Worker ([object Object]) practicing in DERBY, Connecticut . Their CMS MIPS Final Score of 83.3087/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: CRISTAL ALICEA reported a CMS MIPS final score of 83.3087 out of 100, above the 83.1 national average. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

CRISTAL ALICEA at a glance

Near national average

NPI registry status

Active

Issued 09/06/2017

NPI 1093233421

Primary specialty

Social Worker

High-volume

139,752 US NPIs in this specialty

MIPS final score

83.3087/100 0.20870000000000744% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Connecticut

How Social Worker compares to other specialties among Connecticut providers

Connecticut providers

Social Worker share within Connecticut

1. Social Worker42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Social Worker share within Connecticut

Medicare quality performance — MIPS

CRISTAL ALICEA's 2023 MIPS final score plotted against the Social Worker national average

Near national average
MIPS Final Score
83.3087/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Social Worker) — 83.3087/100 vs national avg 83.1

0%100%National avg83%83.3%
MIPS final score (Social Worker) — 83.3087/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

CRISTAL ALICEA is a Social Worker provider practicing in DERBY, Connecticut, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1093233421. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

CRISTAL ALICEA appears in the CMS NPPES registry as a Social Worker provider at 30 ELIZABETH ST, DERBY, CT, 06418, with a listed phone of (203) 954-0543. NPI 1093233421 was issued on 09/06/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ALICEA most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal — many Social Worker providers operate outside Part D entirely. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 83.3087/100 for the 2023 performance year (Quality 72.1678, Cost 56.9026), compared with the national average of 83.1.

Social Worker is a high-volume specialty nationwide, with 139,752 enrolled providers across 54 states and an average of 1,486 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

30 ELIZABETH ST
DERBY, CT 06418

Provider Details

NPI 1093233421
Specialty Social Worker
Gender Female
NPI Issued 09/06/2017

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

83.3087
Final Score
Avg: 83.1
72.1678
Quality
56.9026
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where CRISTAL ALICEA bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

THE CHARLOTTE HUNGERFORD HOSPITAL
TORRINGTON, CT

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Social Worker Overview

How CRISTAL ALICEA fits within the Social Worker landscape nationally.

139,752
Social Worker Providers in US
54
States with Social Worker
1,486
Avg Claims per Provider

Nearby Social Worker Providers in Connecticut

Other clinicians with the same primary specialty enrolled in Connecticut, drawn from the same CMS NPPES roster as ALICEA.

Compare Social Worker nationally: see state-by-state distribution →

Frequently Asked Questions

What is CRISTAL ALICEA's specialty?
CRISTAL ALICEA specializes in Social Worker and practices in DERBY, Connecticut.
What is CRISTAL ALICEA's Medicare quality score?
CRISTAL ALICEA has a CMS MIPS Final Score of 83.3087/100 (Quality: 72.1678, Cost: 56.9026). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CRISTAL ALICEA located?
CRISTAL ALICEA is located at 30 ELIZABETH ST, DERBY, CT, 06418. Phone: (203) 954-0543.
What is CRISTAL ALICEA's NPI number?
CRISTAL ALICEA's National Provider Identifier (NPI) is 1093233421, issued on 09/06/2017.
How many Social Worker providers are there in the US?
There are 139,752 Social Worker providers across 54 states in the US. The average Social Worker provider writes 1,486 Medicare Part D claims per year.
Does CRISTAL ALICEA accept Medicare?
CRISTAL ALICEA appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CRISTAL ALICEA's credentials?
CRISTAL ALICEA's NPI is 1093233421. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology