Active NPIIndividual providerSole proprietor

Mr. Evan Colbert, MSW, LICSW

Social Worker, Clinical in Swansea, Massachusetts

NPI Number1194018051
Practice location
442 Wilbur Ave, Swansea, MA 02777-2406
Fax
508-804-7153
Last updated
November 23, 2024

Evan Colbert is a Social Worker, Clinical based in Swansea, MA. Evan Colbert practices in Swansea, MA and has the professional credentials of MSW, LICSW. The NPI Number for Evan Colbert is 1194018051 and holds a License No. L7108 (OR). The current practice location address for Evan Colbert is 442 Wilbur Ave, Swansea, MA 02777-2406 and can be reached out via phone at 085-916-6839 and via fax at 508-804-7153.

Provider Profile Details

NPI Number
1194018051
Provider Name
Evan Colbert
Credential
MSW, LICSW
Provider Entity Type
Individual
Gender
Male
Address
442 Wilbur Ave, Swansea, MA 02777-2406
Phone Number
085-916-6839
Fax Number
508-804-7153
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
May 25, 2011
Last Update Date
November 23, 2024
Certification Date
November 23, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
442 Wilbur Ave
Swansea, MA 02777-2406
Zip
02777-2406
Phone Number
085-916-6839
Fax Number
508-804-7153
Swansea, MA 02777Get directions →

Provider Business Mailing Address Details

Address
1278 Gar Hwy Unit 501
Swansea, MA 02777-7722
City
Swansea
State
MA
Zip
02777-7722

License Information

License Number (1)
L7108
License State (1)
OR
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
120293
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Evan Colbert, MSW, LICSW?

The NPI number of Mr. Evan Colbert, MSW, LICSW is 1194018051. It was assigned on May 25, 2011 and is currently active in the NPPES registry.

What is the specialty of Mr. Evan Colbert, MSW, LICSW?

Mr. Evan Colbert, MSW, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in OR under license number L7108.

Where does Mr. Evan Colbert, MSW, LICSW practice?

The practice location is 442 Wilbur Ave, Swansea, MA 02777-2406. The office can be reached at 085-916-6839 (phone) or 508-804-7153 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194018051 directly on the NPPES registry website.

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