Jessica Kate Colangelo, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

116645 Issued in MA

Practice address

141 Green Rd
Bolton, MA 01740-1045

Phone

(978) 758-1806

NPI assigned

Jul 31, 2008

Last updated

Mar 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1124284005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 GREEN RD",
            "city": "BOLTON",
            "state": "MA",
            "postal_code": "017401045",
            "telephone_number": "978-758-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 GREEN RD",
            "city": "BOLTON",
            "state": "MA",
            "postal_code": "017401045",
            "telephone_number": "978-758-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLANGELO",
        "first_name": "JESSICA",
        "middle_name": "KATE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "116645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Farnsworth Brown, M.D.
• Jennifer Carey
• Ralph Cassagnol
• Patricia Marie Cerreto, PA
• Mary Clouter, LICSW
• Martha A. Coleman, NP
• Mark T. Collins, MD
• Complete Private Home Care, Inc.
• Cultivate Care Farms, Inc.
• Cultivate Counseling Center, LLC (Cultivate Counseling Center)

• Clinical Social Worker in Bolton, MA
• Providers in Bolton, 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 Mar 21, 2024; 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.