Patricia A Colella, LCSW
Individual provider Active NPI Clinical Social Worker · Old Saybrook, CT
NPI 1003089467 · NPPES record last updated Apr 8, 2008
Key facts
- NPI
- 1003089467
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 003457 (CT)
- Practice address
- 20 Research Pkwy
Suite C
Old Saybrook, CT 06475-4214 - Phone
- (800) 370-3651
- Fax
- (860) 510-0020
- NPI assigned
- Apr 8, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003457 | CT | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 003457 | CT | Yes |
Addresses
Primary practice location
20 Research Pkwy
Suite C
Old Saybrook, CT 06475-4214
Mailing address
20 Research Pkwy
Suite C
Old Saybrook, CT 06475-4214
Phone (800) 370-3651
Other providers in Old Saybrook, CT
- Tinnysha A Chopra
- Kayla Chouinard
- Eugene M Clifford
- Coastal Communication Center LLC
- Coastal Interventional Pain Management LLC
- Community Health Center Inc.
- Kathryn Condulis
- Connaughty Chiropractic Center
- Austin James Connaughty
- Christopher S. Connaughty
All providers in Old Saybrook, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.