Active NPI
Carmen P Colon
- Clinical Social Worker
- North Andover, MA
National Provider Identifier
1881414571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 219970
- Practice address
- 800 Turnpike St Ste 201
North Andover, MA 01845-6156 - Phone
- (351) 232-2018
- NPI assigned
- Oct 16, 2024
- 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 | 219970 | MA | Primary |
Addresses
Primary practice location
800 Turnpike St Ste 201
North Andover, MA 01845-6156
Mailing address
800 Turnpike St Ste 201
North Andover, MA 01845-6156
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 |
|---|---|---|---|
| 219970 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child and Family Psychological Services, PLLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1881414571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 TURNPIKE ST STE 201",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018456156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 TURNPIKE ST STE 201",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018456156",
"telephone_number": "351-232-2018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLON",
"first_name": "CARMEN",
"middle_name": "P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-16",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "219970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.