Active NPI
Colleen R Kumia, M.S.W., L.C.S.W.
- Clinical Social Worker
- Mesa, AZ
National Provider Identifier
1801850185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW-36571
- Practice address
- 1845 S Dobson Rd
Suite 207
Mesa, AZ 85202-5661 - Phone
- (480) 706-9559
- Fax
- (480) 820-6254
- NPI assigned
- Apr 14, 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 | SW-36571 | AZ | Primary |
Addresses
Primary practice location
1845 S Dobson Rd
Suite 207
Mesa, AZ 85202-5661
Mailing address
1845 S Dobson Rd
Suite 207
Mesa, AZ 85202-5661
Phone (480) 706-9559
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 820580346 | Other | AZ | PROVIDER TAXONOMY CODE |
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 |
|---|---|---|---|
| SW-36571 | AZ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357084800000",
"number": "1801850185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1845 S DOBSON RD",
"address_2": "SUITE 207",
"city": "MESA",
"state": "AZ",
"postal_code": "852025661",
"telephone_number": "480-706-9559",
"fax_number": "480-820-6254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1845 S DOBSON RD",
"address_2": "SUITE 207",
"city": "MESA",
"state": "AZ",
"postal_code": "852025661",
"telephone_number": "480-706-9559",
"fax_number": "480-820-6254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMIA",
"first_name": "COLLEEN",
"middle_name": "R",
"credential": "M.S.W., L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-14",
"last_updated": "2013-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "SW-36571",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER TAXONOMY CODE",
"identifier": "820580346",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.