National Provider Identifier

Kristin Shawn Colbert, LMSW

Kristin Shawn Colbert, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Ithaca, NY and a listed phone number of (607) 592-3255.

NPI 1548904436Ithaca, NYSocial Worker

Profile Overview

NPI
1548904436
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
April 26, 2022
Last Updated
April 26, 2022

Practice Location

  • 304 Comstock RD
  • Ithaca, NY 14850-2263

Phone: (607) 592-3255

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1548904436
Entity Type
Individual
Last Name
Colbert
First Name
Kristin
Middle Name
Shawn
Credential
LMSW
Mailing Street Address
304 Comstock RD
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-2263
Mailing Country
US
Mailing Phone
(607) 592-3255
Practice Street Address
304 Comstock RD
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-2263
Practice Country
US
Practice Phone
(607) 592-3255
Enumeration Date
April 26, 2022
Last Updated
April 26, 2022
Sex
Female
Sole Proprietor
Yes
Certification Date
April 26, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)