Active NPI
Autumn Colbert, LGSW
- Social Worker
- White Plains, MD
National Provider Identifier
1063837664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 19441
- Practice address
- 4475 Regency PL
Suite 205
White Plains, MD 20695-3072 - Phone
- (240) 427-3554
- NPI assigned
- Feb 19, 2014
- Last updated
- Feb 19, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 19441 | MD | Primary |
Addresses
Primary practice location
4475 Regency PL
Suite 205
White Plains, MD 20695-3072
Mailing address
4475 Regency PL
Suite 205
White Plains, MD 20695-3072
Phone (240) 427-3554
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19441 | MD | MD | Social Worker |
Interoperability endpoints
- https://api.platform.athenahealth.com/18593/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392768000000",
"number": "1063837664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4475 REGENCY PL",
"address_2": "SUITE 205",
"city": "WHITE PLAINS",
"state": "MD",
"postal_code": "206953072",
"telephone_number": "240-427-3554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4475 REGENCY PL",
"address_2": "SUITE 205",
"city": "WHITE PLAINS",
"state": "MD",
"postal_code": "206953072",
"telephone_number": "240-427-3554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLBERT",
"first_name": "AUTUMN",
"credential": "LGSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-19",
"last_updated": "2014-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "19441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White Plains, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.