Amanda Bethanie Colon
Individual provider Active NPI Social Worker · Plainville, CT
NPI 1285000802 · NPPES record last updated Aug 18, 2015
Key facts
- NPI
- 1285000802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 74 East St
Plainville, CT 06062-2367 - Phone
- (860) 793-4200
- NPI assigned
- Aug 18, 2015
- 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)
- No
Interoperability endpoints
- amanda.clark.p1@direct.wheelerclinic.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
74 East St
Plainville, CT 06062-2367
Mailing address
160 Oakwood Dr
New Britain, CT 06052-1504
Phone (860) 502-5949
Other providers in Plainville, CT
- Eric Bruce Cohen
- Ethan Meyer Cohen
- Susan Mayo Colangelo
- Collaborative Psychiatric Services, LLC
- Jessica Bach Collins
- Damaris Colon
- Community Residences, Inc.
- Community Solutions, Inc.
- Compassionate Behaviors, LLC
- Comprehensive Pain Management of Central Connecticut, LLC
All providers in Plainville, CT · Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2015. 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.