Active NPI
Abdullah Emilio Colon
- Clinical Social Worker
- Vernon, CT
National Provider Identifier
1871160739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW230499
- Practice address
- 695 Talcottville Rd Apt 7H
Vernon, CT 06066-2344 - Phone
- (860) 424-7080
- NPI assigned
- Jun 9, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5696 | CT | |
| Clinical Social Worker | 1041C0700X | LCSW230499 | MA | Primary |
Addresses
Primary practice location
695 Talcottville Rd Apt 7H
Vernon, CT 06066-2344
Mailing address
695 Talcottville Rd Apt 7H
Vernon, CT 06066-2344
Phone (860) 424-7080
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 |
|---|---|---|---|
| 5696 | CT | MD | Clinical Social Worker |
| LCSW230499 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1871160739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "695 TALCOTTVILLE RD APT 7H",
"city": "VERNON",
"state": "CT",
"postal_code": "060662344",
"telephone_number": "860-424-7080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 TALCOTTVILLE RD APT 7H",
"city": "VERNON",
"state": "CT",
"postal_code": "060662344",
"telephone_number": "860-424-7080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLON",
"first_name": "ABDULLAH",
"middle_name": "EMILIO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-09",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "5696",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "LCSW230499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vernon, CT
- Willard Rudin Colburn, PHARMACIST
- Colby Family Chiropractic
- Colby Family Chiropractic,LLC
- Christopher Aaron Colby, D.C.
- Elizabeth Ann Collins, PT
- Complete Care at Fox Hill LLC
- Concordia Counseling of Connecticut LLC
- Constandina Patricia Conley, APRN, FNP-BC
- Connecticut Back Center LLC
- Connecticut Back Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.