Jennifer Colby LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JENNIFER COLBY LCSW PLLC

Practice address

41 Tamarack Rd
Rye Brook, NY 10573-2434

Phone

(203) 979-2057

NPI assigned

Mar 19, 2021

Organization subpart

No

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

Authorized official

Name

Jennifer Colby, LCSW

Title

Owner

Phone

(203) 979-2057

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, CT2 enrollments

Enrollment records 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sara Klein, LCSW

  • Clinical Social Worker
  • Briarcliff Manor, NY
  • NPI 1992248090
  Medicare reassignment NPD

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1174109342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 TAMARACK RD",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732434",
            "telephone_number": "203-979-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 TAMARACK RD",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732434",
            "telephone_number": "203-979-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER COLBY LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "COLBY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-979-2057",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Anthony Izzo, DC CCSP
• J. M. Aquino Psychologist PLLC
• Habibullah Jamal, M.D
• Christina Mary James
• Antonieta C Jauregui, OTR
• Beverly R Johnson, NURSE
• Rijo Ann Jose
• Josef J Geldwert Westchester DPM PC
• Cindy Joseph, O.D.
• Kamal Addagatla Medicine PLLC

• Clinical Social Worker in Rye Brook, NY
• Providers in Rye Brook, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.