Individual provider Active NPI

Jane Elizabeth Colquhoun, LCSWR

  • Clinical Social Worker
  • Plattsburgh, NY
National Provider Identifier
1225074644
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R029238-1 Issued in NY
Practice address
3 Cumberland Ave
Plattsburgh, NY 12901-1850
Phone
(518) 566-6000
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X R029238-1 NY
Clinical Social Worker 1041C0700X R029238-1 NY Primary
Marriage & Family Therapist 106H00000X R029238-1 NY

Addresses

Primary practice location

3 Cumberland Ave
Plattsburgh, NY 12901-1850

Mailing address

PO Box 312
Keene, NY 12942-0312
Phone (518) 339-5361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060914000444 NY Practitioner - Clinical Social Worker 6507860061 Practice locations: Plattsburgh, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

110 West Bay Plaza
Plattsburgh, NY 12901-1785
Phone (518) 339-5361

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R029238-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Adirondack Psychiatric Associates, P.C. PastSince Jan 22, 2001 Accepting new patients

Organizations & group practices 1

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204848000000",
    "number": "1225074644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 312",
            "city": "KEENE",
            "state": "NY",
            "postal_code": "129420312",
            "telephone_number": "518-339-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CUMBERLAND AVE",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011850",
            "telephone_number": "518-566-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLQUHOUN",
        "first_name": "JANE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LCSWR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2008-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "R029238-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R029238-1",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "R029238-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.