Keith Colbert, LCADC, CCFC is a
Social Worker based in Irvington, New Jersey. Keith Colbert is licensed to practice in New Jersey (license number 44SW00619000) and his current practice location is
21-29 Wagner Place, Irvington, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(973) 399-3132.
NPI number for Keith Colbert is 1003992512 and his current mailing address is 21-29 Wagner Place, Irvington, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003992512.
Healthcare Provider's Profile
| Full Name | Keith Colbert |
|---|
| Gender | Male |
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| Speciality | Social Worker |
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| Location | 21-29 Wagner Place, Irvington, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1003992512
- Provider Enumeration Date: 10/27/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Keith Colbert such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003992512 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | F18736 (New Jersey) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00011300 (New Jersey) | Primary |
| 104100000X | Social Worker | 44SW00619000 (New Jersey) | 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. Keith Colbert 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 |
|---|
Keith Colbert, LCADC, CCFC
21-29 Wagner Place,
Irvington, NJ 07111-1861
Ph: (973) 399-3132 | Keith Colbert, LCADC, CCFC
21-29 Wagner Place,
Irvington, NJ 07111-1861
Ph: (973) 399-3132 |
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