Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristin S Nicely Colangelo, LCSW, LCADC, CCS

Individual provider Clinical Social Worker · NPI 1487371084

Kristin S Nicely Colangelo, LCSW, LCADC, CCS is a Clinical Social Worker in Collingswood, New Jersey. Qualified in 2004, 22 years ago. Practices as a sole proprietor. Licensed in New Jersey.

Years since qualifying
22
Licensed in
NJ
In the registry since
2022
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

13 W Madison Ave
Collingswood, NJ 08108-1426
Phone: (609) 405-7037
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 44SC05652800 (NJ)

Record details

NPI number1487371084
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , LCADC , CCS
Sole proprietorYes
NPI enumeratedOctober 24, 2022
Last updated in NPPESOctober 25, 2022
Certification dateOctober 25, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Not indicated

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