Individual provider Active NPI

Joanna Rebecca Colton, LICSW

  • Clinical Social Worker
  • Lexington, MA
National Provider Identifier
1841702776
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110089 Issued in MA
Practice address
33 Bedford St Ste 12
Lexington, MA 02420-4403
Phone
(781) 334-8988
NPI assigned
Nov 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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 110089 MA Primary

Addresses

Primary practice location

33 Bedford St Ste 12
Lexington, MA 02420-4403

Mailing address

191 Tower Rd
Lincoln, MA 01773-4311
Phone (617) 480-5023

Other practice location 1

191 Tower Rd
Lincoln, MA 01773-4311
Phone (617) 480-5023

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

LicenseStateTypeSpecialty
110089MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1841702776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 TOWER RD",
            "city": "LINCOLN",
            "state": "MA",
            "postal_code": "017734311",
            "telephone_number": "617-480-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 BEDFORD ST STE 12",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204403",
            "telephone_number": "781-334-8988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "191 Tower Rd",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "MA",
            "postal_code": "017734311",
            "country_code": "US",
            "telephone_number": "617-480-5023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLTON",
        "first_name": "JOANNA",
        "middle_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-01",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.