Kolby Rose Andrade, MSW, LICSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LICSW126894 Issued in MA

Practice address

258 Main St Ste B4
Bourne, MA 02532-3251

Phone

(774) 384-5697

NPI assigned

Jun 14, 2020

Last updated

Nov 3, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et1290.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brockton Neighborhood Health Center

  • Federally Qualified Health Center (FQHC)
  • Brockton, MA
  • NPI 1225085319
  Medicare reassignment NPD
• Brockton Neighborhood Health Center, Inc.

  dba BNHC Pharmacy

  • Community/Retail Pharmacy
  • Brockton, MA
  • NPI 1528704061
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793664000000",
    "number": "1033734199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 LOGAN ST # N229",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027407361",
            "telephone_number": "774-322-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 MAIN ST STE B4",
            "city": "BOURNE",
            "state": "MA",
            "postal_code": "025323251",
            "telephone_number": "774-384-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRADE",
        "first_name": "KOLBY",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-14",
        "last_updated": "2026-11-03",
        "certification_date": "2026-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "LICSW126894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Allen, DPT
• Karen Elizabeth Anderson, PT
• Avita Dental Associates PLLC
• Madeline Bergin, RPH
• Tammy Lee Berio, PTA
• Bernard J Durante MD PC (South Shore Sleep Diagnostics)
• Patricia Carlstrom Berry, OTR/L

• Social Worker in Bourne, MA
• Providers in Bourne, MA by specialty
• Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.