Active NPIIndividual providerSole proprietor

Kaitlin A Colancecco, LICSW

Social Worker, Clinical in Wenham, Massachusetts

NPI Number1134603947
Practice location
10 Porter St, Wenham, MA 01984-1426
Fax
—
Last updated
September 18, 2018

Kaitlin Ann Colancecco is a Social Worker, Clinical based in Wenham, MA. Kaitlin Ann Colancecco practices in Wenham, MA and has the professional credentials of LICSW. The NPI Number for Kaitlin Ann Colancecco is 1134603947 and holds a License No. 117985 (MA). The current practice location address for Kaitlin Ann Colancecco is 10 Porter St, Wenham, MA 01984-1426 and can be reached out via phone at 631-741-5599.

Provider Profile Details

NPI Number
1134603947
Provider Name
Kaitlin Ann Colancecco
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
10 Porter St, Wenham, MA 01984-1426
Phone Number
631-741-5599
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 18, 2018
Last Update Date
September 18, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Porter St
Wenham, MA 01984-1426
City
Wenham
Zip
01984-1426
Phone Number
631-741-5599
Wenham, MA 01984Get directions →

Provider Business Mailing Address Details

Address
10 Porter St
Wenham, MA 01984-1426
City
Wenham
State
MA
Zip
01984-1426

License Information

License Number
117985
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Social Worker, Clinical providers near Wenham, MA

View all Social Worker, Clinical providers in Wenham →

Frequently Asked Questions

What is the NPI number of Kaitlin A Colancecco, LICSW?

The NPI number of Kaitlin A Colancecco, LICSW is 1134603947. It was assigned on September 18, 2018 and is currently active in the NPPES registry.

What is the specialty of Kaitlin A Colancecco, LICSW?

Kaitlin A Colancecco, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 117985.

Where does Kaitlin A Colancecco, LICSW practice?

The practice location is 10 Porter St, Wenham, MA 01984-1426. The office can be reached at 631-741-5599 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134603947 directly on the NPPES registry website.

Browse related providers