Zoe V. Colgan, ED.D. LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

079786 Issued in NY

Practice address

338 S Dakota Ave
Vandenberg AFB, CA 93437

Phone

(805) 606-8217

NPI assigned

Jul 18, 2007

Last updated

May 29, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1376743419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 S DAKOTA AVE",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934376307",
            "telephone_number": "805-606-8217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 S DAKOTA AVE",
            "city": "VANDENBERG AFB",
            "state": "CA",
            "postal_code": "93437",
            "telephone_number": "805-606-8217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLGAN",
        "first_name": "ZOE",
        "middle_name": "V.",
        "credential": "ED.D.  LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-18",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076727",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER MEDICAID PROVIDE",
            "identifier": "00618162",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1376743419",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melinda Hunt Boyd, PA-C
• David William Brandon, DDS
• Devin Charles Caster
• Lorie Lee Chan, DDS
• Todd Douglas Church, DMD
• Benjamin Paul Crandall
• Luke Robert Creasman, DNP, FNP-C
• Felipa Alcoreza Dacanay, MS.ED., MSW, LISW-S
• Jared Alan Detter, PSYD
• Jana Kristin San Jose Dionisio

• Clinical Social Worker in Vandenberg AFB, CA
• Providers in Vandenberg AFB, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.