Individual provider Active NPI

Christine Teresa Colarusso, LCSW

  • Clinical Social Worker
  • Albany, NY
National Provider Identifier
1972698512
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
328821 Issued in NY
Practice address
51 Eileen St
Albany, NY 12203-2103
Phone
(518) 427-8255
Fax
(518) 275-0887
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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 328821 NY Primary

Addresses

Primary practice location

51 Eileen St
Albany, NY 12203-2103

Mailing address

51 Eileen St
Albany, NY 12203-2103
Phone (518) 427-8255

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
328821NYMDClinical Social Worker
032882NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1972698512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 EILEEN ST",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122032103",
            "telephone_number": "518-427-8255",
            "fax_number": "518-275-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 EILEEN ST",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122032103",
            "telephone_number": "518-427-8255",
            "fax_number": "518-275-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLARUSSO",
        "first_name": "CHRISTINE",
        "middle_name": "TERESA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "328821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.