Rebecca Colacchio Thompson, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

114632 Issued in MA

Practice address

1400 Centre St
Suite 105
Newton Centre, MA 02459-2454

Phone

(617) 301-8369

NPI assigned

Nov 20, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1073768859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 CLARK ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024536577",
            "telephone_number": "781-209-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 CENTRE ST",
            "address_2": "SUITE 105",
            "city": "NEWTON CENTRE",
            "state": "MA",
            "postal_code": "024592454",
            "telephone_number": "617-301-8369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "REBECCA",
        "middle_name": "COLACCHIO",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114632",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann B Stambler, LICSW
• Morris J.L. Stambler, M.D.
• Sheila Marilyn Statlender, PH.D.
• Mark Robert Steward, PH.D.
• James Peter Stewart, DPM
• Erika Vargas, LMHC
• Elyse Anne Wagner, DMD
• John Walsh
• Malarie Elizabeth Warren, RDN, LDN
• Ronan Wolfsdorf, MSW, LICSW

• Clinical Social Worker in Newton Centre, MA
• Providers in Newton Centre, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.