Victoria Kolbe Colonette, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

122899 Issued in MA

Practice address

111 Foster St
205
Peabody, MA 01960-8929

Phone

(978) 552-9011

NPI assigned

Oct 15, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1381795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1255769972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 N 92ND ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981033105",
            "telephone_number": "978-552-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 FOSTER ST",
            "address_2": "205",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019608929",
            "telephone_number": "978-552-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLONETTE",
        "first_name": "VICTORIA",
        "middle_name": "KOLBE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-15",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "122899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gillian Colbourne
• Susan Tina Colella, FNP-C
• Jeannette L. Coleman, MSW, LICSW
• Sandra Ann Coleman
• Jeannette Colon, MASSAGE THERAPIST
• Shaina Colozzi
• Danielle Joanne Comb, PHARMD
• Commonwealth Health Services LLC
• Alissa Caroline Conant, OTR/L
• Kellie Condon, PA-C

• Clinical Social Worker in Peabody, MA
• Providers in Peabody, 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 Apr 25, 2022; 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.