Donna Colberg, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-25803 Issued in ID

Practice address

6050 E Kingswood LN
Coeur D Alene, ID 83814-5263

Phone

(208) 651-3948

NPI assigned

May 25, 2012

Last updated

May 25, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Donna Hawkins Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337904000000",
    "number": "1013277888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 E KINGSWOOD LN",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838145263",
            "telephone_number": "208-651-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 E KINGSWOOD LN",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838145263",
            "telephone_number": "208-651-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBERG",
        "first_name": "DONNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-25",
        "last_updated": "2012-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-25803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "HAWKINS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Coeur Therapeutics JJ (Coeur Therapeutics)
• Coeur Vitality PLLC
• Dana L Colbert, D.O.
• Cassandra Coleman-Heppler, LICSW
• Cassey Coleman, CPSS, CFSP
• Tiffany Coleman, MOTR/L
• Collaborative Behavior Solutions, LLC

• Clinical Social Worker in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.