Individual provider Active NPI

Colleen Armitage, LCSW

  • Clinical Social Worker
  • Oxford, CT
National Provider Identifier
1366084121
Registry record updated Jul 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10796 Issued in CT
Practice address
441 Oxford Rd Ste 2D
Oxford, CT 06478-1235
Phone
(203) 521-8834
NPI assigned
Oct 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10796 CT Primary

Addresses

Primary practice location

441 Oxford Rd Ste 2D
Oxford, CT 06478-1235

Mailing address

441 Oxford Rd Ste 2D
Oxford, CT 06478-1235
Phone (203) 521-8834

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
10796CTMDClinical Social Worker
010796CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Laurel Wellness LLC Clinical CurrentSince Nov 17, 2024 Accepting new patients
Medop Behavioral Health Associates PC Clinical PastSince Oct 1, 2019 Accepting new patients
High Watch Recovery Center PastSince Oct 1, 2019 Accepting new patients

Locations

441 Oxford Rd
Ste 2D
Oxford, CT 06478
Phone (203) 521-8834

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689379200000",
    "number": "1366084121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 OXFORD RD STE 2D",
            "city": "OXFORD",
            "state": "CT",
            "postal_code": "064781235",
            "telephone_number": "203-521-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 OXFORD RD STE 2D",
            "city": "OXFORD",
            "state": "CT",
            "postal_code": "064781235",
            "telephone_number": "203-521-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMITAGE",
        "first_name": "COLLEEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2023-07-15",
        "certification_date": "2023-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2023; 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.