Individual provider Active NPI

Colleen Warnock, LICDC, LISW

  • Social Worker
  • Cleveland, OH
National Provider Identifier
1326598665
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I.2002407 Issued in OH
Practice address
1320 Washington Ave
Cleveland, OH 44113-2333
Phone
(216) 727-2070
Fax
(216) 727-2080
NPI assigned
Oct 11, 2016
Last updated
Feb 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 141031 OH
Social Worker 104100000X I.2002407 OH Primary

Addresses

Primary practice location

1320 Washington Ave
Cleveland, OH 44113-2333

Mailing address

2100 Lakeside Ave E
Cleveland, OH 44114-1126
Phone (440) 376-2394

Other practice location 1

6001 Woodland Ave
Suite 703
Cleveland, OH 44104-2762
Phone (216) 431-2018 ext. 3664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
141031OHMDAddiction (Substance Use Disorder) Counselor
I.2002407OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
YMCA of Greater Cleveland Current Accepting new patients
YMCA of Greater Cleveland CurrentSince Jul 20, 2021 Accepting new patients
Care Alliance PastSince Feb 6, 2022 Accepting new patients

Locations

6001 Woodland Ave
Ste 703
Cleveland, OH 44104
Phone (216) 431-2018

Organizations & group practices 3

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": "1476144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1326598665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 LAKESIDE AVE E",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441141126",
            "telephone_number": "440-376-2394",
            "fax_number": "216-868-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 WASHINGTON AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441132333",
            "telephone_number": "216-727-2070",
            "fax_number": "216-727-2080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6001 Woodland Ave",
            "address_2": "Suite 703",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441042762",
            "country_code": "US",
            "telephone_number": "216-431-2018 x3664",
            "fax_number": "216-431-2023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARNOCK",
        "first_name": "COLLEEN",
        "credential": "LICDC, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-11",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "141031",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.2002407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.