Individual provider Active NPI

Kolbey Anne Herrera, ASW

  • Clinical Social Worker
  • Merced, CA
National Provider Identifier
1336576032
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2831 G St
Merced, CA 95340-2133
Phone
(209) 722-0202
Fax
(209) 385-9921
NPI assigned
Sep 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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 Primary

Addresses

Primary practice location

2831 G St
Merced, CA 95340-2133

Mailing address

7721 Santa Rita Grade
Dos Palos, CA 93620-9757
Phone (209) 704-4142

Other practice location 1

40 W G St Bldg 2
Los Banos, CA 93635-3657
Phone (209) 710-6100

Other practice location 2

301 E 13th St
Merced, CA 95341-6211
Phone (209) 381-6800 ext. 3042

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1041 E Yorba Linda Blvd
Suite 202
Placentia, CA 92870-3760

3421 Fairesta St
LA Crescenta, CA 91214-1837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Merced Past Accepting new patients
Rainbow Valley Group Home, Inc. PastSince Jan 31, 2021 Accepting new patients
County of Merced Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1336576032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7721 SANTA RITA GRADE",
            "city": "DOS PALOS",
            "state": "CA",
            "postal_code": "936209757",
            "telephone_number": "209-704-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 G ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953402133",
            "telephone_number": "209-722-0202",
            "fax_number": "209-385-9921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 W G St Bldg 2",
            "address_purpose": "LOCATION",
            "city": "Los Banos",
            "state": "CA",
            "postal_code": "936353657",
            "country_code": "US",
            "telephone_number": "209-710-6100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 E 13th St",
            "address_purpose": "LOCATION",
            "city": "Merced",
            "state": "CA",
            "postal_code": "953416211",
            "country_code": "US",
            "telephone_number": "209-381-6800 x3042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "KOLBEY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.