Active NPI
Felicity Colangelo, LCSW
- Clinical Social Worker
- Portland, ME
National Provider Identifier
1629582705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC17830
- Practice address
- 602 Brighton Ave
Portland, ME 04102 - Phone
- (207) 387-1028
- Fax
- (207) 560-9134
- NPI assigned
- Nov 28, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | LC17830 | ME | Primary |
Addresses
Primary practice location
602 Brighton Ave
Portland, ME 04102
Mailing address
602 Brighton Ave
Portland, ME 04102-2324
Phone (207) 387-1028
Other practice location 1
41 Racine Ave
Portland, ME 04103-3913
Phone (503) 309-6630
Other practice location 2
41 Racine Ave
Portland, ME 04103-3913
Phone (503) 309-6630
Other practice location 3
54 Cumberland St Ste 5
Brunswick, ME 04011-1829
Phone (207) 387-1028
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC17830 | ME | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564358400000",
"number": "1629582705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 BRIGHTON AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022324",
"telephone_number": "207-387-1028",
"fax_number": "207-560-9134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 BRIGHTON AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "04102",
"telephone_number": "207-387-1028",
"fax_number": "207-560-9134"
}
],
"practiceLocations": [
{
"address_1": "41 Racine Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041033913",
"country_code": "US",
"telephone_number": "503-309-6630",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "41 Racine Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041033913",
"country_code": "US",
"telephone_number": "503-309-6630",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "54 Cumberland St Ste 5",
"address_purpose": "LOCATION",
"city": "Brunswick",
"state": "ME",
"postal_code": "040111829",
"country_code": "US",
"telephone_number": "207-387-1028",
"fax_number": "207-560-9134",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLANGELO",
"first_name": "FELICITY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-28",
"last_updated": "2019-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC17830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.