Active NPI
Colleen Isberg, LMSW
- Social Worker
- Shelton, CT
National Provider Identifier
1720802481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 10558
- Practice address
- 1 Enterprise Dr Ste 415
Shelton, CT 06484-4631 - Phone
- (203) 255-5078
- NPI assigned
- Nov 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 10558 | CT | Primary |
Addresses
Primary practice location
1 Enterprise Dr Ste 415
Shelton, CT 06484-4631
Mailing address
42 Westminster St
Hamden, CT 06518-3347
Phone (203) 828-8774
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 |
|---|---|---|---|
| 10558 | CT | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731283200000",
"number": "1720802481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 WESTMINSTER ST",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065183347",
"telephone_number": "203-828-8774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ENTERPRISE DR STE 415",
"city": "SHELTON",
"state": "CT",
"postal_code": "064844631",
"telephone_number": "203-255-5078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISBERG",
"first_name": "COLLEEN",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-11",
"last_updated": "2024-11-11",
"certification_date": "2024-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "10558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.