Individual provider Active NPI

Colleen Digioia, LCSW

  • Clinical Social Worker
  • Sandy Hook, CT
National Provider Identifier
1477157477
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
008439 Issued in CT
Practice address
13 Berkshire Rd # Units12
Sandy Hook, CT 06482-1361
Phone
(203) 491-2577
NPI assigned
Nov 30, 2020
Last updated
Nov 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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 008439 CT Primary

Addresses

Primary practice location

13 Berkshire Rd # Units12
Sandy Hook, CT 06482-1361

Mailing address

3 Ox Dr
Brookfield, CT 06804-3632
Phone (203) 482-2889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210817001218 CT Practitioner - Clinical Social Worker 2365847159 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Key Therapy LLC CurrentSince Jun 1, 2024 Accepting new patients
The Neurovation Center, LLC CurrentSince Jul 28, 2021 Accepting new patients
Western Connecticut Center for Neurofeedback and Counseling, LLC PastSince Jul 28, 2021 Accepting new patients

Locations

731 Main St
Ste 122
Monroe, CT 06468
Phone (203) 261-7090

13 Berkshire Rd
#1
Sandy Hook, CT 06482
Phone (203) 491-2577

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1477157477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 OX DR",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068043632",
            "telephone_number": "203-482-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 BERKSHIRE RD # UNITS12",
            "city": "SANDY HOOK",
            "state": "CT",
            "postal_code": "064821361",
            "telephone_number": "203-491-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGIOIA",
        "first_name": "COLLEEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Hook, CT

Sources for this page

Verify at the official NPI Registry.