Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Luis Antonio Colon

Individual provider Clinical Social Worker · NPI 1770214074

Luis Antonio Colon is a Clinical Social Worker in Wyncote, Pennsylvania. Qualified in 2016, 10 years ago. Licensed in Pennsylvania.

Years since qualifying
10
Licensed in
PA
In the registry since
2022
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Practice location Address checks out

2401 W Cheltenham Ave Ste 205
Wyncote, PA 19095-2956
Phone: (215) 444-7471
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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 SW133922 (PA)

Record details

NPI number1770214074
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 19, 2022
Last updated in NPPESJune 19, 2022
Certification dateJune 19, 2022
Mailing addressPo Box 746071, Atlanta, GA 30374-6071

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Wyncote