Individual provider Active NPI

Kirsten Leigh Colbert, LCSW

  • Clinical Social Worker
  • Wewoka, OK
National Provider Identifier
1790705887
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2167 Issued in OK
Practice address
State Highway 56 & US Highway 270 Junction
Wewoka, OK 74884
Phone
(405) 257-6282
Fax
(405) 257-2051
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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 2167 OK Primary

Addresses

Primary practice location

State Highway 56 & US Highway 270 Junction
Wewoka, OK 74884

Mailing address

PO Box 1475
36640 Hwy 270
Wewoka, OK 74884-1475
Phone (405) 257-6282

Other names 1

  • Kirsten Leigh Jake Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2167OKMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1790705887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "address_2": "36640 HWY 270",
            "city": "WEWOKA",
            "state": "OK",
            "postal_code": "748841475",
            "telephone_number": "405-257-6282",
            "fax_number": "405-257-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STATE HIGHWAY 56 & US HIGHWAY 270 JUNCTION",
            "city": "WEWOKA",
            "state": "OK",
            "postal_code": "74884",
            "telephone_number": "405-257-6282",
            "fax_number": "405-257-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBERT",
        "first_name": "KIRSTEN",
        "middle_name": "LEIGH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "2167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTEN",
            "last_name": "JAKE",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wewoka, OK

Sources for this page

Verify at the official NPI Registry.