Active NPI
Joyce Colburn, LCSW
- Clinical Social Worker
- Westport, CT
National Provider Identifier
1922468198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1310
- Practice address
- 225 Main St
# 1
Westport, CT 06880-3216 - Phone
- (203) 910-9884
- NPI assigned
- Mar 2, 2016
- 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 | 1310 | CT | Primary |
Addresses
Primary practice location
225 Main St
# 1
Westport, CT 06880-3216
Mailing address
35 Whitney GLN
Westport, CT 06880-3700
Phone (203) 910-9884
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160505000342 | CT | Practitioner - Clinical Social Worker | 1951600451 | Practice locations: Norwalk, CT |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
85 E Ave
Suite 1
Norwalk, CT 06851-4905
Phone (203) 910-9884
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1310 | CT | MD | Clinical Social Worker |
| 001310 | CT | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461888000000",
"number": "1922468198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 WHITNEY GLN",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068803700",
"telephone_number": "203-910-9884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 MAIN ST",
"address_2": "# 1",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068803216",
"telephone_number": "203-910-9884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLBURN",
"first_name": "JOYCE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-02",
"last_updated": "2016-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "1310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.