Individual provider Active NPI

Colleen Vangelist, LICSW

  • Clinical Social Worker
  • Franklin, TN
National Provider Identifier
1578168654
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
121542 Issued in MA
Practice address
143 SE Parkway CT
Franklin, TN 37064-3968
Phone
(615) 790-0567
NPI assigned
Dec 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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 121542 MA Primary

Addresses

Primary practice location

143 SE Parkway CT
Franklin, TN 37064-3968

Mailing address

18 Marcus Rd
Wilmington, MA 01887-1547
Phone (978) 503-4377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20250624000046 TN Practitioner - Mental Health Counselor 1658883988 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
121542MAMDClinical Social Worker
9636TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Services, Inc. CurrentSince May 6, 2025 Accepting new patients

Locations

1113 Murfreesboro Rd
Ste 319
Franklin, TN 37064
Phone 6157900567 ext. 229

143 SE Parkway Ct
Franklin, TN 37064
Phone (615) 547-2577

122 E Commerce St
Lewisburg, TN 37091
Phone (615) 814-3400

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1578168654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MARCUS RD",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018871547",
            "telephone_number": "978-503-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 SE PARKWAY CT",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370643968",
            "telephone_number": "615-790-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANGELIST",
        "first_name": "COLLEEN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-04",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "121542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.