National Provider Identifier
Angela Colegrove
Angela Colegrove is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Elmira, NY and a listed phone number of (570) 418-0644.
Profile Overview
- NPI
- 1053016063
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- March 31, 2023
- Last Updated
- March 31, 2023
Practice Location
- 1316 College Ave
- Elmira, NY 14901-1169
Phone: (570) 418-0644
Mailing Address
- 76 Veterans Ave
- Bath, NY 14810-0810
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1053016063
- Entity Type
- Individual
- Last Name
- Colegrove
- First Name
- Angela
- Mailing Street Address
- 76 Veterans Ave
- Mailing City
- Bath
- Mailing State
- NY
- Mailing ZIP Code
- 14810-0810
- Mailing Country
- US
- Practice Street Address
- 1316 College Ave
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-1169
- Practice Country
- US
- Practice Phone
- (570) 418-0644
- Enumeration Date
- March 31, 2023
- Last Updated
- March 31, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 31, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)