Active NPI
Jacob Colby, LMSW
- Social Worker
- Schenectady, NY
National Provider Identifier
1487050704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 094565-1
- Practice address
- 530 Franklin St
2ND Floor
Schenectady, NY 12305-2011 - Phone
- (518) 381-8911
- NPI assigned
- Nov 13, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 094565-1 | NY | Primary |
Addresses
Primary practice location
530 Franklin St
2ND Floor
Schenectady, NY 12305-2011
Mailing address
530 Franklin St
2ND Floor
Schenectady, NY 12305-2011
Phone (518) 381-8911
Other names 1
- Jake Colby
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 |
|---|---|---|---|
| 094565-1 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Parent and Child Society, Inc. | Social Worker | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Social Worker
- Schenectady, NY
- NPI 1003901695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428451200000",
"number": "1487050704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 FRANKLIN ST",
"address_2": "2ND FLOOR",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123052011",
"telephone_number": "518-381-8911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 FRANKLIN ST",
"address_2": "2ND FLOOR",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123052011",
"telephone_number": "518-381-8911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLBY",
"first_name": "JACOB",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-13",
"last_updated": "2015-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "094565-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAKE",
"last_name": "COLBY",
"credential": "LMSW",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Schenectady, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.