Healthcare Provider Details

I. General information

NPI: 1740116524
Provider Name (Legal Business Name): ASSUNTA AVA COLETTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2026
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 HART ST
NEW BRITAIN CT
06052-1759
US

IV. Provider business mailing address

33 NICOLE RD
BRANFORD CT
06405-6251
US

V. Phone/Fax

Practice location:
  • Phone: 860-793-3500
  • Fax: 203-752-8333
Mailing address:
  • Phone: 203-752-8333
  • Fax: 203-752-8333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: