Individual provider Active NPI

Frances Colello, LCSW

  • Clinical Social Worker
  • Ridge, NY
National Provider Identifier
1154872042
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
092961 Issued in NY
Practice address
11 Woodbrook Dr
Ridge, NY 11961-2133
Phone
(631) 682-7969
NPI assigned
Oct 17, 2016
Sex
Female
Sole proprietor
No

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Ridge, NY 11961
Phone (631) 682-7969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20220602000013 NY Practitioner - Clinical Social Worker 6406234517 Practice locations: Ridge, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
72094744NYMDSocial Worker

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 72094744 NY
Clinical Social Worker 1041C0700X 092961 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

11 Woodbrook Dr
Ridge, NY 11961-2133

Mailing address

11 Woodbrook Dr
Ridge, NY 11961-2133
Phone (631) 682-7969

Other practice location 1

7 Seafield Ln
Westhampton Beach, NY 11978-2714
Phone (631) 288-1122

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 8, 2022.

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1154872042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WOODBROOK DR",
            "city": "RIDGE",
            "state": "NY",
            "postal_code": "119612133",
            "telephone_number": "631-682-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WOODBROOK DR",
            "city": "RIDGE",
            "state": "NY",
            "postal_code": "119612133",
            "telephone_number": "631-682-7969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Seafield Ln",
            "address_purpose": "LOCATION",
            "city": "Westhampton Beach",
            "state": "NY",
            "postal_code": "119782714",
            "country_code": "US",
            "telephone_number": "631-288-1122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLELLO",
        "first_name": "FRANCES",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-17",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "72094744",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridge, NY

Sources for this page

Verify at the official NPI Registry.