Individual provider Active NPI

Colleen Marie Eiser, ASW

  • Clinical Social Worker
  • Eureka, CA
National Provider Identifier
1114792512
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
139432 Issued in CA
Practice address
2313 I St
Eureka, CA 95501-4244
Phone
(707) 296-9295
NPI assigned
Nov 16, 2023
Last updated
Jun 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 139432 CA Primary

Addresses

Primary practice location

2313 I St
Eureka, CA 95501-4244

Mailing address

974 C St
Arcata, CA 95521-5939
Phone (760) 583-3779

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

LicenseStateTypeSpecialty
139432CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Humboldt Neurohealth Therapeutic Services Clinical CurrentSince Nov 19, 2023 Accepting new patients
Humboldt Neurohealth Therapeutic Services PastSince Nov 19, 2023 Accepting new patients

Locations

2313 I St
Eureka, CA 95501
Phone (707) 296-9295

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1114792512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "974 C ST",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955215939",
            "telephone_number": "760-583-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2313 I ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955014244",
            "telephone_number": "707-296-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISER",
        "first_name": "COLLEEN",
        "middle_name": "MARIE",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-16",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "139432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.