Active NPI
Barbara J Colitz, LCSW
- Clinical Social Worker
- San Tan Valley, AZ
National Provider Identifier
1326471483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 18787
- 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
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 | 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, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 18787 | CA | MD | Clinical 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.