Individual provider Active NPI

Colleen Kate Clawson, LCSW

  • Clinical Social Worker
  • Allen, TX
National Provider Identifier
1497123962
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
65272 Issued in TX
Practice address
100 Allentown Pkwy Ste 206
Allen, TX 75002-4215
Phone
(469) 310-2992
NPI assigned
Sep 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CW018728 PA
Clinical Social Worker 1041C0700X 65272 TX Primary

Addresses

Primary practice location

100 Allentown Pkwy Ste 206
Allen, TX 75002-4215

Mailing address

100 Allentown Pkwy Ste 206
Allen, TX 75002-4215
Phone (469) 310-2992

Other practice location 1

6324 Marchand St
Pittsburgh, PA 15206-4312
Phone (412) 661-1239

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW018728PAMDCounselor
65272TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1497123962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ALLENTOWN PKWY STE 206",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750024215",
            "telephone_number": "469-310-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ALLENTOWN PKWY STE 206",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750024215",
            "telephone_number": "469-310-2992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6324 Marchand St",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152064312",
            "country_code": "US",
            "telephone_number": "412-661-1239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAWSON",
        "first_name": "COLLEEN",
        "middle_name": "KATE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "CW018728",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "65272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.