Sarita Renee Colvin, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4075C Issued in AL

Practice address

1601 5TH Ave N Ste 166
Birmingham, AL 35203-1924

Phone

(205) 463-1943

Fax

(205) 392-8447

NPI assigned

Jul 21, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Optum Behavioral Care of Virginia IncGroup PAC ID 3971945924, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Optum Behavioral Care of Virginia, Inc.

  • Counseling Psychologist
  • Mobile, AL
  • NPI 1851164271
  Medicare reassignment Care Compare group NPD
• Cahaba Medical Care Foundation

  • Federally Qualified Health Center (FQHC)
  • Centreville, AL
  • NPI 1316201809
  Medicare reassignment NPD
• Cahaba Medical Care Foundation

  dba CMC Pharmacy Centreville

  • Federally Qualified Health Center (FQHC)
  • Centreville, AL
  • NPI 1316542624
  NPD
• Optum Behavioral Care of Virginia, Inc.

  • Clinical Social Worker
  • New Orleans, LA
  • NPI 1053290973
  NPD

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708732800000",
    "number": "1336556570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 5TH AVE N STE 166",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352031924",
            "telephone_number": "205-463-1943",
            "fax_number": "205-392-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 5TH AVE N STE 166",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352031924",
            "telephone_number": "205-463-1943",
            "fax_number": "205-392-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLVIN",
        "first_name": "SARITA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2024-02-24",
        "certification_date": "2024-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2011027085",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000008086",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "14857",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4075C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Virginia Colvert, CRNP
• Caroline Wingo Colvin, MD
• Charles Peyton Colvin, M.D.
• Edward V Colvin, M.D.
• Rosilem Barclay Colvin, RN
• Stephanie Donaldson Colvin, MD
• Tyler Bryant Colvin, MD
• Edgardo Abuan Coma Jr., R.P.T.
• Bart R Combs, MD
• Meredith W Combs, CRNA

• Clinical Social Worker in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.

Verify at the official NPI Registry.