Active NPI
Colleen Mary Cebula, MSW
- Social Worker
- Albany, NY
National Provider Identifier
1487978052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 068060-1
- Practice address
- 175 Central Ave
Floor 5
Albany, NY 12206-2937 - Phone
- (518) 436-4462
- Fax
- (518) 436-4558
- NPI assigned
- Mar 25, 2010
- Sex
- Female
- 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 | 068060-1 | NY | Primary |
Addresses
Primary practice location
175 Central Ave
Floor 5
Albany, NY 12206-2937
Mailing address
11 Hewitt St
Amsterdam, NY 12010-2105
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 |
|---|---|---|---|
| 068060-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269475200000",
"number": "1487978052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 HEWITT ST",
"city": "AMSTERDAM",
"state": "NY",
"postal_code": "120102105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 CENTRAL AVE",
"address_2": "FLOOR 5",
"city": "ALBANY",
"state": "NY",
"postal_code": "122062937",
"telephone_number": "518-436-4462",
"fax_number": "518-436-4558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEBULA",
"first_name": "COLLEEN",
"middle_name": "MARY",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-25",
"last_updated": "2010-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "068060-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.