Provider Demographics
NPI:1982095162
Name:PASSETTO, COLLEEN (MSW, LICSW)
Entity Type:Individual
Prefix:MRS
First Name:COLLEEN
Middle Name:
Last Name:PASSETTO
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:MISS
Other - First Name:COLLEEN
Other - Middle Name:ANN
Other - Last Name:REARDON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSW
Mailing Address - Street 1:250 NEW WINDSOR RD
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:MA
Mailing Address - Zip Code:01235-9362
Mailing Address - Country:US
Mailing Address - Phone:413-655-1161
Mailing Address - Fax:413-251-0551
Practice Address - Street 1:250 NEW WINDSOR ROAD
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:MA
Practice Address - Zip Code:01235
Practice Address - Country:US
Practice Address - Phone:413-655-1161
Practice Address - Fax:413-251-0551
Is Sole Proprietor?:No
Enumeration Date:2015-02-10
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1222201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical