Active NPI
Colette Lynn Duciaume-Wright, LCSW
- Clinical Social Worker
- San Antonio, TX
National Provider Identifier
1790738201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 27472
- Practice address
- 2546 E Bitters Rd
San Antonio, TX 78217-4448 - Phone
- (210) 822-6083
- Fax
- (210) 637-6315
- NPI assigned
- May 18, 2006
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 27472 | TX | Primary |
Addresses
Primary practice location
2546 E Bitters Rd
San Antonio, TX 78217-4448
Mailing address
2546 E Bitters Rd
San Antonio, TX 78217-4448
Phone (210) 822-6083
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142309 | Other | TX | VALUE OPTIONS - SOCIAL WO |
| 00665E | Other | TX | BCBS - SOCIAL WORKER |
| 0639056-01 | Medicaid | TX |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27472 | TX | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296518400000",
"number": "1790738201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2546 E BITTERS RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782174448",
"telephone_number": "210-822-6083",
"fax_number": "210-637-6315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2546 E BITTERS RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782174448",
"telephone_number": "210-822-6083",
"fax_number": "210-637-6315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUCIAUME-WRIGHT",
"first_name": "COLETTE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2011-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "27472",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS - SOCIAL WO",
"identifier": "142309",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS - SOCIAL WORKER",
"identifier": "00665E",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0639056-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.