Provider Demographics
NPI:1851522999
Name:COLON FELICIANO, LAURA (LCSW-R)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:
Last Name:COLON FELICIANO
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:MRS
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:BERTINI-COLON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW, LMSW
Mailing Address - Street 1:245 BRADFORD RD
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12304-3704
Mailing Address - Country:US
Mailing Address - Phone:518-925-6781
Mailing Address - Fax:518-346-6820
Practice Address - Street 1:KEANE ELEMENTARY SCHOOL ANNEX, CRISIS PREVENTION TEAM
Practice Address - Street 2:1252 ALBANY ST.
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12304-2702
Practice Address - Country:US
Practice Address - Phone:518-952-1283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-06
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0797391041S0200X
NY0835101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool