Active NPI
Jennifer Colby LCSW PLLC
- Clinical Social Worker
- Rye Brook, NY
National Provider Identifier
1174109342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
- Last updated
- Mar 19, 2021
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
41 Tamarack Rd
Rye Brook, NY 10573-2434
Mailing address
41 Tamarack Rd
Rye Brook, NY 10573-2434
Phone (203) 979-2057
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Briarcliff Manor, NY
- NPI 1992248090
-
- Clinical Social Worker
- Rye Brook, NY
- NPI 1407364201
NPI Registry JSON
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": []
}
Other providers in Rye Brook, NY
Sources for this page
- 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.