Heather Staton Colomb, LCSW, LCAS-P is a
Social Worker - Clinical based in Charlotte, North Carolina. Heather Staton Colomb is licensed to practice in * (Not Available) (license number ) and her current practice location is
2300 Randolph Rd, Charlotte, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(704) 316-7760.
NPI number for Heather Staton Colomb is 1700110830 and her current mailing address is Po Box 60447, Charlotte, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700110830.
Healthcare Provider's Profile
| Full Name | Heather Staton Colomb |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 2300 Randolph Rd, Charlotte, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1700110830
- Provider Enumeration Date: 09/22/2009
- Last Update Date: 03/19/2012
Medical Identifiers
Medical identifiers for Heather Staton Colomb such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700110830 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | P005145 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Heather Staton Colomb is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Heather Staton Colomb, LCSW, LCAS-P
Po Box 60447,
Charlotte, NC 28260-0447
Ph: (704) 316-7760 | Heather Staton Colomb, LCSW, LCAS-P
2300 Randolph Rd,
Charlotte, NC 28207-1562
Ph: (704) 316-7760 |
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