Individual provider Active NPI

Heidi Lynn Colbert

  • Clinical Social Worker
  • Capitol Heights, MD
National Provider Identifier
1437893617
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904010877 Issued in VA
Practice address
303 Pepper Mill Dr
Capitol Heights, MD 20743-2626
Phone
(202) 330-1845
NPI assigned
Apr 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 13741 MD
Clinical Social Worker 1041C0700X LC50079398 DC
Clinical Social Worker 1041C0700X 0904010877 VA Primary

Addresses

Primary practice location

303 Pepper Mill Dr
Capitol Heights, MD 20743-2626

Mailing address

303 Pepper Mill Dr
Capitol Heights, MD 20743-2626
Phone (202) 330-1845

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 202-330-1845

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

LicenseStateTypeSpecialty
LC50079398DCMDClinical Social Worker
13741MDMDClinical Social Worker
0904010877VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1437893617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 PEPPER MILL DR",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207432626",
            "telephone_number": "202-330-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 PEPPER MILL DR",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207432626",
            "telephone_number": "202-330-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBERT",
        "first_name": "HEIDI",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13741",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50079398",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "202-330-1845",
            "affiliation": "N",
            "address_1": "303 Pepper Mill Dr",
            "city": "Capitol Heights",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207432626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Capitol Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.