Active NPI
Colleen Elizabeth Carroll-Barbuto, LCSW-R
- Clinical Social Worker
- Delmar, NY
National Provider Identifier
1124126925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R042142-1
- Practice address
- 1 Burhans PL
Delmar, NY 12054-1201 - Phone
- (518) 669-4668
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R042142-1 | NY | Primary |
Addresses
Primary practice location
1 Burhans PL
Delmar, NY 12054-1201
Mailing address
1 Burhans PL
Delmar, NY 12054-1201
Phone (518) 669-4668
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R042142-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124126925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BURHANS PL",
"city": "DELMAR",
"state": "NY",
"postal_code": "120541201",
"telephone_number": "518-669-4668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BURHANS PL",
"city": "DELMAR",
"state": "NY",
"postal_code": "120541201",
"telephone_number": "518-669-4668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL-BARBUTO",
"first_name": "COLLEEN",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "LCSW-R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R042142-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Delmar, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.