Colleen Verriest, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05284800 Issued in NJ

Practice address

1913 Atlantic Ave
Room 195
Manasquan, NJ 08736-1029

Phone

(732) 223-3131

Fax

(732) 961-3048

NPI assigned

Mar 27, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Whole Heart Healing LLC

  • Clinical Social Worker
  • Doylestown, PA
  • NPI 1851048078
  NPD Authorized official

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407975105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 ATLANTIC AVE",
            "address_2": "ROOM 195",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361029",
            "telephone_number": "732-223-3131",
            "fax_number": "732-961-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 ATLANTIC AVE",
            "address_2": "ROOM 195",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361029",
            "telephone_number": "732-223-3131",
            "fax_number": "732-961-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERRIEST",
        "first_name": "COLLEEN",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05284800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• US Homemed, LLC
• Stephanie Valenziano, LCSW
• Valerie a. Barba DDS, LLC
• Camille Vasquez, DMD
• Daniel F Vernik, PA-C
• Frank C Victor, MD
• Frank R Victor, DC
• Kathryn Vieira, FNP-C
• John Christian Volpe, D.C.
• Kurt Eugene Von Suskil, MD

• Clinical Social Worker in Manasquan, NJ
• Providers in Manasquan, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.