Colleen Moriarty, LICSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

1025878 Issued in MA

Practice address

691 Grafton St
Worcester, MA 01604-3185

Phone

(508) 753-7902

Fax

(508) 753-4296

NPI assigned

May 14, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Colleen Moriarty-Anctil Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1396156113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "691 GRAFTON ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016043185",
            "telephone_number": "508-753-7902",
            "fax_number": "508-753-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 GRAFTON ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016043185",
            "telephone_number": "508-753-7902",
            "fax_number": "508-753-4296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORIARTY",
        "first_name": "COLLEEN",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "1025878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "MORIARTY-ANCTIL",
            "prefix": "MS.",
            "credential": "LICSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Susan B Morgan, RN
• William J Morgan, MD
• Wynne S. Morgan, M.D.
• Rebecca Ann Morganelli
• Garie R Morgenstern Stein, M.S., C.C.C.
• Richard A Moriarty, M.D.
• Daniel Owen Morin, PA-C
• David P Morin, M.D.
• Jaime Morin
• Nicole Melissa Morin

• Social Worker in Worcester, MA
• Providers in Worcester, MA by specialty
• Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.