Jessica Kate Colangelo, MSW, LICSW
Individual provider Active NPI Clinical Social Worker · Bolton, MA
NPI 1124284005 · NPPES record last updated Mar 21, 2024
Key facts
- NPI
- 1124284005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 116645 (MA)
- Practice address
- 141 Green Rd
Bolton, MA 01740-1045 - Phone
- (978) 758-1806
- NPI assigned
- Jul 31, 2008
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116645 | MA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 116645 | MA | Yes |
Addresses
Primary practice location
141 Green Rd
Bolton, MA 01740-1045
Mailing address
141 Green Rd
Bolton, MA 01740-1045
Phone (978) 758-1806
Other providers in Bolton, MA
- Linda Farnsworth Brown
- Jennifer Carey
- Ralph Cassagnol
- Patricia Marie Cerreto
- Mary Clouter
- Martha A. Coleman
- Mark T. Collins
- Complete Private Home Care, Inc.
- Cultivate Care Farms, Inc.
- Cultivate Counseling Center, LLC
All providers in Bolton, 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 Mar 21, 2024. 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.