Susan Colburn, LCSW | |
100 Allentown Pkwy Ste 206, Allen, TX 75002-4215 | |
(972) 233-1010 | |
(214) 623-6692 |
Full Name | Susan Colburn |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 29 Years |
Location | 100 Allentown Pkwy Ste 206, Allen, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568579126 | NPI | - | NPPES |
192371601 | Medicaid | TX | |
612951 | Other | TX | MEDICARE PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 005066 (Connecticut) | Secondary |
1041C0700X | Social Worker - Clinical | 29704 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Assurasource Ltd | 8123125580 | 50 |
Entity Name | Assurasource Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194746016 PECOS PAC ID: 8123125580 Enrollment ID: O20070518000258 |
Entity Name | Che Behavioral Health Counseling Services Of Texas, P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043824717 PECOS PAC ID: 2466852496 Enrollment ID: O20210614001954 |
Mailing Address | Practice Location Address |
---|---|
Susan Colburn, LCSW 1209 Forest St, Georgetown, TX 78626-6718 Ph: (512) 934-0021 | Susan Colburn, LCSW 100 Allentown Pkwy Ste 206, Allen, TX 75002-4215 Ph: (972) 233-1010 |
Miss Catherine Phelps Campbell, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 400 N Allen Dr Ste 204, Allen, TX 75013 Phone: 972-233-1010 Fax: 214-623-6692 | |
Mr. Kelvin Drew Mccoy, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 100 Allentown Pkwy Ste 206, Allen, TX 75002 Phone: 972-233-1010 Fax: 214-623-6692 | |
Denise Capurso, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 100 Allentown Pkwy Ste 206, Allen, TX 75002 Phone: 972-743-7016 | |
Lora Hamilton, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 100 Allentown Pkwy Ste 206, Allen, TX 75002 Phone: 972-233-1010 | |
Mrs. Sonya Bolden, MSW LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 450 Century Pkwy Ste 250, Allen, TX 75013 Phone: 972-516-4320 Fax: 844-402-0972 | |
Deena Kyle Ott, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 907 Hemingway Ct, Allen, TX 75002 Phone: 801-573-0240 | |
Mrs. Denise Michelle Newton, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1333 W Mcdermott Dr Ste 200, Allen, TX 75013 Phone: 203-941-1884 Fax: 214-548-5994 |