Active NPI
Alicia Reyes Colon, LICSW
- Clinical Social Worker
- Attleboro, MA
National Provider Identifier
1629114996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 111684
- Practice address
- 140 Park St Ste 5
Attleboro, MA 02703-8048 - Phone
- (617) 401-7700
- NPI assigned
- Jan 30, 2007
- 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 | 111684 | MA | Primary |
Addresses
Primary practice location
140 Park St Ste 5
Attleboro, MA 02703-8048
Mailing address
3 Chambers Rd
Taunton, MA 02780-2486
Phone (085) 977-3723
Other practice location 1
3 Chambers Rd
Taunton, MA 02780-2486
Phone (085) 977-3723
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111684 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child & Family Services, Inc. | Past | Accepting new patients | |
| Oasis Behavioral Health Center LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
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-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634688000000",
"number": "1629114996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 CHAMBERS RD",
"city": "TAUNTON",
"state": "MA",
"postal_code": "027802486",
"telephone_number": "085-977-3723",
"fax_number": "085-977-3460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 PARK ST STE 5",
"city": "ATTLEBORO",
"state": "MA",
"postal_code": "027038048",
"telephone_number": "617-401-7700"
}
],
"practiceLocations": [
{
"address_1": "3 Chambers Rd",
"address_purpose": "LOCATION",
"city": "Taunton",
"state": "MA",
"postal_code": "027802486",
"country_code": "US",
"telephone_number": "085-977-3723",
"fax_number": "085-977-3460",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLON",
"first_name": "ALICIA",
"middle_name": "REYES",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2021-10-20",
"certification_date": "2021-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "111684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Attleboro, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.