Individual provider Active NPI

Colleen Perrone

  • Clinical Social Worker
  • North Babylon, NY
National Provider Identifier
1619371705
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
086717 Issued in NY
Practice address
281 Phelps LN
North Babylon, NY 11703-4005
Phone
(631) 422-7676
NPI assigned
Oct 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 086717 NY Primary
Social Worker 104100000X 092635 NY

Addresses

Primary practice location

281 Phelps LN
North Babylon, NY 11703-4005

Mailing address

180 E Main St Ste 205H
Patchogue, NY 11772-3171
Phone (631) 438-1570

Other practice location 1

180 E Main St Ste 205H
Patchogue, NY 11772-3171
Phone (631) 438-1570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20230207000933 NY Practitioner - Clinical Social Worker 4880066513 Practice locations: Patchogue, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

20 Oak St
Patchogue, NY 11772-2818
Phone (631) 438-1570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
092635NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Town of Babylon - Division of Drug and Alcohol Services Past Accepting new patients

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": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1619371705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 E MAIN ST STE 205H",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723171",
            "telephone_number": "631-438-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 PHELPS LN",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117034005",
            "telephone_number": "631-422-7676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 E Main St Ste 205H",
            "address_purpose": "LOCATION",
            "city": "Patchogue",
            "state": "NY",
            "postal_code": "117723171",
            "country_code": "US",
            "telephone_number": "631-438-1570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRONE",
        "first_name": "COLLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-17",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086717",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "092635",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Babylon, NY

Sources for this page

Verify at the official NPI Registry.