Active NPI
Carol E Kolek, LICSW
- Clinical Social Worker
- Mattapoisette, MA
National Provider Identifier
1093794570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 102069
- Practice address
- 19 County Rd
Mattapoisette, MA 02739 - Phone
- (508) 758-3754
- Fax
- (508) 758-3755
- NPI assigned
- Jan 12, 2006
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 102069 | MA | Primary |
Addresses
Primary practice location
19 County Rd
Mattapoisette, MA 02739
Mailing address
PO Box 71
Mattapoisett, MA 02739-0071
Phone (508) 758-3757
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1858114 | Medicaid | MA | |
| 1857533 | Other | MA | MBHP |
| P06133 | Other | MA | BCBS MA |
| 1041586 | Other | CIGNA BEHAVORIAL HEALTH | |
| 102069 | Other | TUFTS HEALTH CARE | |
| 213864 | Other | RI | BCBS |
| 26653 | Other | MA | MBC HEALTH NET |
| 007162 | Other | TRICARE | |
| 6251547 | Other | UNITED BEHAVORIAL HEALTH | |
| 102069 | Other | MA | LICSW BD OF SW REGISTER |
| 212096 | Other | MHN | |
| 005624 | Other | VALUE OPTIONS | |
| 5856653 | Other | AETNA BEHAVORIAL HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102069 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-Town Counseling, LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Mattapoisett, MA
- NPI 1366432999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1093794570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 71",
"city": "MATTAPOISETT",
"state": "MA",
"postal_code": "027390071",
"telephone_number": "508-758-3757",
"fax_number": "508-758-3755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 COUNTY RD",
"city": "MATTAPOISETTE",
"state": "MA",
"postal_code": "02739",
"telephone_number": "508-758-3754",
"fax_number": "508-758-3755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLEK",
"first_name": "CAROL",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "102069",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1858114",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MBHP",
"identifier": "1857533",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "P06133",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVORIAL HEALTH",
"identifier": "1041586",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH CARE",
"identifier": "102069",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "213864",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MBC HEALTH NET",
"identifier": "26653",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "007162",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVORIAL HEALTH",
"identifier": "6251547",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICSW BD OF SW REGISTER",
"identifier": "102069",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "212096",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "005624",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA BEHAVORIAL HEALTH",
"identifier": "5856653",
"state": null
}
],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.