Nicole Shannon Colella
Individual provider Active NPI Clinical Social Worker · Webster, MA
NPI 1003473109 · NPPES record last updated May 23, 2019
Key facts
- NPI
- 1003473109
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 10 Highland St
Webster, MA 01570-2909 - Phone
- (774) 402-0911
- NPI assigned
- May 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
10 Highland St
Webster, MA 01570-2909
Mailing address
10 Highland St
Webster, MA 01570-2909
Phone (774) 402-0911
Other providers in Webster, MA
- Central Mass Health Systems
- Christopher House of Webster LP
- Natalia Ciecierski
- Jill Clement
- Nicoleta Cojocaru
- Colonial Health Group- Tcu, LLC
- Olivia Corfey
- Laurenmarie Cormier
- Jason Val Corriveau
- Tina M Crentsil
All providers in Webster, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2019. 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.