Active NPI
Ivo A Colon, LCSW,CAADC
- Clinical Social Worker
- Coatesville, PA
National Provider Identifier
1881092062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1400 Blackhorse Hill Rd BLDG 39B
Coatesville, PA 19320-2096 - Phone
- (610) 384-7711
- Fax
- (610) 466-2207
- NPI assigned
- Dec 19, 2014
- Last updated
- Jun 16, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
1400 Blackhorse Hill Rd BLDG 39B
Coatesville, PA 19320-2096
Mailing address
1400 Blackhorse Hill Rd BLDG 39B
Coatesville, PA 19320-2096
Phone (610) 384-7711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686873600000",
"number": "1881092062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 BLACKHORSE HILL RD BLDG 39B",
"city": "COATESVILLE",
"state": "PA",
"postal_code": "193202096",
"telephone_number": "610-384-7711",
"fax_number": "610-466-2207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 BLACKHORSE HILL RD BLDG 39B",
"city": "COATESVILLE",
"state": "PA",
"postal_code": "193202096",
"telephone_number": "610-384-7711",
"fax_number": "610-466-2207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLON",
"first_name": "IVO",
"middle_name": "A",
"credential": "LCSW,CAADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-19",
"last_updated": "2023-06-16",
"certification_date": "2023-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coatesville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.