Individual provider Active NPI

Colleen Passetto, MSW, LICSW

  • Clinical Social Worker
  • Hinsdale, MA
National Provider Identifier
1982095162
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
122220 Issued in MA
Practice address
250 New Windsor Road
Hinsdale, MA 01235
Phone
(413) 655-1161
Fax
(413) 251-0551
NPI assigned
Feb 10, 2015
Last updated
Mar 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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 122220 MA Primary

Addresses

Primary practice location

250 New Windsor Road
Hinsdale, MA 01235

Mailing address

250 New Windsor Rd
Hinsdale, MA 01235-9362
Phone (413) 655-1161

Other names 1

  • Miss Colleen Ann Reardon Former name

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: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

34 Depot St
Suite 303
Pittsfield, MA 01201-5130
Phone 4132524357110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
122220MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Colleen Passetto - Licsw Clinical CurrentSince Jun 25, 2023 Accepting new patients

Locations

34 Depot St
Ste 303
Pittsfield, MA 01201

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1982095162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 NEW WINDSOR RD",
            "city": "HINSDALE",
            "state": "MA",
            "postal_code": "012359362",
            "telephone_number": "413-655-1161",
            "fax_number": "413-251-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 NEW WINDSOR ROAD",
            "city": "HINSDALE",
            "state": "MA",
            "postal_code": "01235",
            "telephone_number": "413-655-1161",
            "fax_number": "413-251-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSETTO",
        "first_name": "COLLEEN",
        "name_prefix": "Mrs.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-10",
        "last_updated": "2024-03-12",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "122220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "REARDON",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "BSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hinsdale, MA

Sources for this page

Verify at the official NPI Registry.