Individual provider Active NPI

Barbara J Colitz, LCSW

  • Clinical Social Worker
  • San Tan Valley, AZ
National Provider Identifier
1326471483
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 18787 Issued in CA
Practice address
3614 W Cobalt CT Ste 200
San Tan Valley, AZ 85144-3905
Phone
(949) 357-8882
NPI assigned
Aug 13, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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 LCS 18787 CA Primary

Addresses

Primary practice location

3614 W Cobalt CT Ste 200
San Tan Valley, AZ 85144-3905

Mailing address

3614 W Cobalt CT
San Tan Valley, AZ 85144-3905
Phone (949) 357-8882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170605001988 CA Practitioner - Clinical Social Worker 6608153580 Practice locations: Laguna Hills, CA
I20241029002634 AZ Practitioner - Clinical Social Worker 6608153580 Practice locations: San Tan Valley, AZ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Loyola University of Chicago, Stritch School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3614 W Cobalt CT
San Tan Valley, AZ 85144-3905
Phone (949) 357-8881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 18787CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1326471483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614 W COBALT CT",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851443905",
            "telephone_number": "949-357-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 W COBALT CT STE 200",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851443905",
            "telephone_number": "949-357-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLITZ",
        "first_name": "BARBARA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-13",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 18787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

Verify at the official NPI Registry.