Individual provider Active NPI

Samaria Maria Colbert, LCSW

  • Clinical Social Worker
  • Greensboro, NC
National Provider Identifier
1699077396
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C007049 Issued in NC
Practice address
2006 Cedar Fork Dr Apt D
Greensboro, NC 27407-4590
Phone
(919) 600-3444
NPI assigned
Dec 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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 C007049 NC Primary

Addresses

Primary practice location

2006 Cedar Fork Dr Apt D
Greensboro, NC 27407-4590

Mailing address

2006 Cedar Fork Dr Apt D
Greensboro, NC 27407-4590
Phone (919) 600-3444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20110221000082 NC Practitioner - Clinical Social Worker 0143401455 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1050 Revolution Mill Dr
Suite 2
Greensboro, NC 27405-5053
Phone (336) 543-0159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rha Behavioral Health NC LLC CurrentSince Jun 1, 2018 Accepting new patients
Rha Health Services, Inc CurrentSince Apr 15, 2013 Accepting new patients
Rha Behavioral Health NC LLC Current Accepting new patients
Kingdom Creative Counseling PLLC CurrentSince Apr 7, 2017 Accepting new patients
Rha Health Services Inc Current Accepting new patients
Rha Health Services Inc CurrentSince Apr 15, 2013 Accepting new patients
Rha Behavioral Health NC LLC CurrentSince Jun 1, 2018 Accepting new patients

Locations

211 Perimeter Center Pkwy NE
Ste 750
Atlanta, GA 30346

356 Biltmore Ave
Asheville, NC 28801
Phone (828) 252-0190

1050 Revolution Mill Dr
Ste 2
Greensboro, NC 27405
Phone (336) 543-0159

121 S Elm St
Ste B
Greensboro, NC 27401
Phone (336) 210-2734

211 S Centennial St
High Point, NC 27260
Phone (336) 841-0143

Organizations & group practices 7

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": "1291161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1699077396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 CEDAR FORK DR APT D",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274074590",
            "telephone_number": "919-600-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 CEDAR FORK DR APT D",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274074590",
            "telephone_number": "919-600-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBERT",
        "first_name": "SAMARIA",
        "middle_name": "MARIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-01",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.