Organization Active NPI

Colley Social Work Services, LLC

  • Social Worker
  • Vancleave, MS
National Provider Identifier
1881598902
Registry record updated Oct 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
COLLEY SOCIAL WORK SERVICES, LLC
Practice address
13017 Little Bluff PL
Vancleave, MS 39565-7170
Phone
(228) 623-0512
NPI assigned
Oct 3, 2026
Last updated
Oct 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2026

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

Authorized official

Name
Dr. Coletha Deshay Colley, LCSWNPI 1710875919
Title
Social Worker/Owner
Phone
(228) 623-0512

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU Primary

Addresses

Primary practice location

13017 Little Bluff PL
Vancleave, MS 39565-7170

Mailing address

13017 Little Bluff PL
Vancleave, MS 39565-7170

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1790985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790985600000",
    "number": "1881598902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13017 LITTLE BLUFF PL",
            "city": "VANCLEAVE",
            "state": "MS",
            "postal_code": "395657170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13017 LITTLE BLUFF PL",
            "city": "VANCLEAVE",
            "state": "MS",
            "postal_code": "395657170",
            "telephone_number": "228-623-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEY SOCIAL WORK SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-03",
        "last_updated": "2026-10-03",
        "certification_date": "2026-10-03",
        "status": "A",
        "authorized_official_last_name": "COLLEY",
        "authorized_official_first_name": "COLETHA",
        "authorized_official_middle_name": "DESHAY",
        "authorized_official_title_or_position": "SOCIAL WORKER/OWNER",
        "authorized_official_telephone_number": "228-623-0512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancleave, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.