Active NPI
Judith Colby-Walker, MCSW
- Clinical Social Worker
- Gray, ME
National Provider Identifier
1396975587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC5766
- Practice address
- 67 Shaker Rd Apt 7
Gray, ME 04039-9640 - Phone
- (207) 657-7700
- Fax
- (207) 657-7770
- NPI assigned
- Jul 22, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC5766 | ME | Primary |
Addresses
Primary practice location
67 Shaker Rd Apt 7
Gray, ME 04039-9640
Mailing address
67 Shaker Rd Apt 7
Gray, ME 04039-9640
Phone (207) 657-7700
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
| License | State | Type | Specialty |
|---|---|---|---|
| LC5766 | ME | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248220800000",
"number": "1396975587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 SHAKER RD APT 7",
"city": "GRAY",
"state": "ME",
"postal_code": "040399640",
"telephone_number": "207-657-7700",
"fax_number": "207-657-7770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 SHAKER RD APT 7",
"city": "GRAY",
"state": "ME",
"postal_code": "040399640",
"telephone_number": "207-657-7700",
"fax_number": "207-657-7770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLBY-WALKER",
"first_name": "JUDITH",
"name_prefix": "Mrs.",
"credential": "MCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-22",
"last_updated": "2009-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC5766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gray, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.