Individual provider Active NPI

Colleen Martin, LCSW

  • Clinical Social Worker
  • Chambersburg, PA
National Provider Identifier
1619336922
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017970 Issued in PA
Practice address
176 S Coldbrook Ave
Unit 2
Chambersburg, PA 17201-2714
Phone
(717) 267-7480
Fax
(717) 267-7403
NPI assigned
Feb 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW017970 PA Primary

Addresses

Primary practice location

176 S Coldbrook Ave
Unit 2
Chambersburg, PA 17201-2714

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201028000646 PA Practitioner - Clinical Social Worker 0446660799 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW017970PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Chambersburg Hospital CurrentSince Nov 15, 2024 Accepting new patients
The Chambersburg Hospital CurrentSince Nov 15, 2024 Accepting new patients

Locations

112 N 7th St
Fl Third
Chambersburg, PA 17201
Phone (717) 267-7771

112 N 7th St
Chambersburg, PA 17201
Phone (717) 217-4300

176 S Coldbrook Ave
Chambersburg, PA 17201
Phone (717) 263-0550

785 5th Ave
Ste 3
Chambersburg, PA 17201

176 S Coldbrook Ave
Ste 2
Chambersburg, PA 17201
Phone (717) 267-7480

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1619336922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 S COLDBROOK AVE",
            "address_2": "UNIT 2",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172012714",
            "telephone_number": "717-267-7480",
            "fax_number": "717-267-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "COLLEEN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-15",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.