Colleen Emily Woodward, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

126594 Issued in MA

Practice address

57 Rutherford Ave Apt 1a
Boston, MA 02129-3757

Phone

(860) 319-4838

NPI assigned

Oct 26, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1538769021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 ALEWIFE BROOK PKWY # 1323",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381102",
            "telephone_number": "860-319-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 RUTHERFORD AVE APT 1A",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021293757",
            "telephone_number": "860-319-4838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Broadway Ste 2010",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100073738",
            "country_code": "US",
            "telephone_number": "212-227-4343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODWARD",
        "first_name": "COLLEEN",
        "middle_name": "EMILY",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "110560",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "126594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee Woods
• Lindsay M Woods, AU. D.
• Olivia Woods
• Tara Monique Woods
• Teresa Woods
• Rachel Woodward, MS, CCC-SLP
• Richmond Lee Manning Woodward, MD
• Zachary Woodward, MD
• Hillary Lauren Woodworth, MD, PHD
• Carol Anne Wool, MD

• Clinical Social Worker in Boston, MA
• Providers in Boston, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.