Nancy Douglas Colburn, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW 9699 Issued in CA

Practice address

1680 Civic Center Dr
Suite 230
Santa Clara, CA 95050-4110

Phone

(877) 850-5132

NPI assigned

Jul 21, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1386097608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 710010",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921710010",
            "telephone_number": "858-208-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 CIVIC CENTER DR",
            "address_2": "SUITE 230",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504110",
            "telephone_number": "877-850-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBURN",
        "first_name": "NANCY",
        "middle_name": "DOUGLAS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW 9699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Adelaide Coen, RESP.THERAPIST
• Linda Lorraine Coffey
• Debra Ann Cohen, MD
• Leah Cohen, ASW, PPSC
• Mark L. Cohen, MD
• Margaret Coleman
• Ayde Colin, RD/RDN
• Marion C Colombo, RNP
• Margarita Colon, LPCC13947
• Lara Eleizabeth Colvert

• Clinical Social Worker in Santa Clara, CA
• Providers in Santa Clara, 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 Jul 21, 2016; 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.