EVAN COLBERT (NPI# 1194018051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194018051 |
| Entity Type | Individual |
| Full Name | EVAN COLBERT |
| Credential | MSW |
| Practice Address |
463 Swansea Mall Dr Swansea MA 02777-4119 |
| Mailing Address |
1278 Gar Hwy Unit 501 Swansea MA 02777-7722 |
| Practice Telephone | 5083240328 |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2017-03-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
L7108 | OR | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
120293 | MA | Behavioral Health & Social Service Providers |
| Street Address |
463 SWANSEA MALL DR |
| City | SWANSEA |
| State | MA |
| Zip Code | 02777-4119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174737175 | Rebecca Marie Green | Counselor | 463 Swansea Mall Dr, Swansea, MA 02777-4119 | 2007-05-09 |
| 1619595378 | Kaitlyn Elizabeth Morreale | Community/Behavioral Health | 463 Swansea Mall Dr, Swansea, MA 02777-4119 | 2020-07-09 |
| 1801418033 | Brandon M Couture | Counselor | 463 Swansea Mall Dr, Swansea, MA 02777-4119 | 2020-05-11 |
| 1114549672 | Kelsey Elizabeth Gamble | Social Worker | 463 Swansea Mall Dr, Swansea, MA 02777-4119 | 2020-05-07 |
| 1457987216 | Kayla Dasilva | Social Worker | 463 Swansea Mall Dr, Swansea, MA 02777-4119 | 2020-03-12 |
| 1669006094 | Caitlin Botelho | Community/Behavioral Health | 463 Swansea Mall Dr, Swansea, MA 02777-4119 | 2020-02-25 |
| 1093345597 | Brenda Quinn | Early Intervention Provider Agency | 463 Swansea Mall Dr, Swansea, MA 02777-4119 | 2020-01-23 |
| 1447890959 | Christina Souza | Community/Behavioral Health | 463 Swansea Mall Dr, Swansea, MA 02777-4119 | 2020-01-13 |
| 1417595612 | Amy Lynn Bailey | Counselor | 463 Swansea Mall Dr, Swansea, MA 02777-4119 | 2019-12-18 |
| 1386282663 | Kaitlyn Saucier | Social Worker | 463 Swansea Mall Dr, Swansea, MA 02777-4119 | 2019-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003399205 | Patricia Ann Golden | Social Worker | 377 Bark St, Swansea, MA 02777 | 2018-09-13 |
| 1275933921 | Traci Rigano | Social Worker | 664 Stevens Road, Swansea, MA 02777 | 2014-08-31 |
| 1821419169 | Vivienne Kathryn Joffe | Social Worker | 453 Swansea Mall Dr., Swansea, MA 02777 | 2014-01-03 |
| 1477898047 | One Solution Homecare | Custodial Care Facility | 310 Wilbur Avenue, Suite 7, Swansea, MA 02777 | 2012-12-07 |
| 1093077976 | Samantha Stone | Student in an Organized Health Care Education/Training Program | 463 Swansea Mall Drive, Swansea, MA 02777 | 2012-06-15 |
| 1013209311 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2340 Gar Highway, Swansea, MA 02777 | 2011-05-05 |
| 1538318720 | Templer Dentistry, LLC | Dentist | 1010 G.a.r. Hyghway, Swansea, MA 02777 | 2008-09-12 |
| 1619156767 | Melanie Beth Jette | Counselor | 789 Stevens Rd., Swansea, MA 02777 | 2007-10-25 |
| 1780708206 | Francis M James | Obstetrics & Gynecology | 164 Seaview Ave, Swansea, MA 02777 | 2007-03-19 |
| 1659402899 | Mary Anne Delcupolo Dds PC | Dentist | H2 Swansea Mall, Swansea, MA 02777 | 2007-03-08 |
| Find all providers in zip 02777 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847880 | Bridgewater Counseling Services, LLC | Social Worker | 4010 N Illinois St Ste 1, Swansea, IL 62226-1967 | 2020-06-29 |
| 1366071854 | Jocelyn R. Cross | Social Worker | 7 Bronze Pointe S Ste B2, Swansea, IL 62226-8308 | 2020-04-06 |
| 1043784382 | Patrick A Frame | Social Worker | 208 W Pointe Dr # B, Swansea, IL 62226-8302 | 2019-01-21 |
| 1003399205 | Patricia Ann Golden | Social Worker | 377 Bark St, Swansea, MA 02777 | 2018-09-13 |
| 1275933921 | Traci Rigano | Social Worker | 664 Stevens Road, Swansea, MA 02777 | 2014-08-31 |
| 1265682942 | Tiffany Rose Hislope | Social Worker | 5 Executive Woods Ct Lowr Level, Swansea, IL 62226-2171 | 2008-09-30 |
| 1053582007 | Henry F Fairman | Social Worker | 73 Touisset Ave, Swansea, MA 02777-1122 | 2008-03-18 |
| 1740467919 | Kathleen M Mcmullan | Social Worker | 208 West Pointe Drive, Suite B, Swansea, IL 62226-8302 | 2008-01-29 |
| 1831230846 | Debra Jo Bellm | Social Worker | 6 Emerald Ter Ste 4, Swansea, IL 62226-2312 | 2007-02-11 |
| 1851442735 | Michael Friend | Social Worker | 25 Market St Ste 14, Swansea, MA 02777-3998 | 2007-01-16 |
| Find all providers in SWANSEA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.