Active NPI
Brianne Colonna, LCSW
- Clinical Social Worker
- Derby, CT
National Provider Identifier
1487047270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8930
- Practice address
- 130 Division St
Derby, CT 06418-1326 - Phone
- (203) 732-7550
- NPI assigned
- Mar 18, 2015
- Last updated
- Mar 18, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 8930 | CT | Primary |
Addresses
Primary practice location
130 Division St
Derby, CT 06418-1326
Mailing address
130 Division Street
Griffin Hospital
Derby, CT 06418-1326
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8930 | Other | CT | CT LICENSE |
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426636800000",
"number": "1487047270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 DIVISION STREET",
"address_2": "GRIFFIN HOSPITAL",
"city": "DERBY",
"state": "CT",
"postal_code": "064181326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 DIVISION ST",
"city": "DERBY",
"state": "CT",
"postal_code": "064181326",
"telephone_number": "203-732-7550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLONNA",
"first_name": "BRIANNE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-18",
"last_updated": "2015-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "8930",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT LICENSE",
"identifier": "8930",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Derby, CT
- Clarice Jaclyn Choi
- Esmeralda Christopher, PA-C
- Julianne Cioffi-Smith, LCSW
- James Cliffe, MD
- Matthew E Cohen, MD
- Comprehensive Pain and Headache Treatment Centers, LLC
- Jessie Louise Condon, APRN
- Rory V Condon, MSN, MA
- Connecticut CVS Pharmacy, L.L.C. (CVS Pharmacy # 01044)
- Connecticut Post Acute Medical Services 1 PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.