Active NPI
Colleen Bogonovich, LCSW
- Social Worker
- Athol, MA
National Provider Identifier
1356200166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 226933
- Practice address
- 660 Conant Rd
Athol, MA 01331-9450 - Phone
- (508) 783-5597
- NPI assigned
- Jan 17, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | |||
| Health Educator | 174H00000X | |||
| Social Worker | 104100000X | 226933 | MA | Primary |
Addresses
Primary practice location
660 Conant Rd
Athol, MA 01331-9450
Mailing address
660 Conant Rd
Athol, MA 01331-9450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 226933 | MA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Movement Connection LLC | Health & Wellness Coach | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health & Wellness Coach
- Gardner, MA
- NPI 1417815655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768608000000",
"number": "1356200166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 CONANT RD",
"city": "ATHOL",
"state": "MA",
"postal_code": "013319450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 CONANT RD",
"city": "ATHOL",
"state": "MA",
"postal_code": "013319450",
"telephone_number": "508-783-5597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGONOVICH",
"first_name": "COLLEEN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-17",
"last_updated": "2026-01-17",
"certification_date": "2026-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "226933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athol, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.