Pamela Q Colbert, LCSWC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10947 Issued in MD

Practice address

10801 Hickory Ridge Rd Ste 220
Columbia, MD 21044-3871

Phone

(443) 472-4426

NPI assigned

Sep 29, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Center Circle Therapy, LLC

  • Clinical Social Worker
  • Columbia, MD
  • NPI 1114442746
  NPD (past) Authorized official

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501804800000",
    "number": "1740277334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 PATUXENT QUARTER RD",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 HICKORY RIDGE RD STE 220",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443871",
            "telephone_number": "443-472-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBERT",
        "first_name": "PAMELA",
        "middle_name": "Q",
        "credential": "LCSWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2017-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "10947",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "10947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Cohen
• Peter Ronald Cohen, M.D.
• Geraldine Coil
• Octavia Toinette Coit, CRNP-PMH
• Alesha Colbert
• Krisna Nikka Recometa Colburn, M.P.T.
• Courtney Samantha G Cole
• Crystal Cole
• Deborah S Cole, PSY.D.
• Emilie Anne Cole, MD

• Clinical Social Worker in Columbia, MD
• Providers in Columbia, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2017; 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.