Colleen Nusbaum, LCSW, CDCI is a
Social Worker - Clinical based in Soldotna, Alaska. Colleen Nusbaum is licensed to practice in Alaska (license number 1290) and her current practice location is
245 N Binkley St Ste 200, Soldotna, Alaska. She can be reached at her office (for appointments etc.) via phone at
(907) 714-4521.
NPI number for Colleen Nusbaum is 1295996858 and her current mailing address is 245 N Binkley St Ste 200, Soldotna, Alaska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295996858.
Healthcare Provider's Profile
| Full Name | Colleen Nusbaum |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 245 N Binkley St Ste 200, Soldotna, Alaska |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1295996858
- Provider Enumeration Date: 06/17/2008
- Last Update Date: 05/19/2022
Medical Identifiers
Medical identifiers for Colleen Nusbaum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295996858 | NPI | - | NPPES |
| CMG675 | Medicaid | AK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 4053 (Alaska) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 1290 (Alaska) | 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. Colleen Nusbaum 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 |
|---|
Colleen Nusbaum, LCSW, CDCI
245 N Binkley St Ste 200,
Soldotna, AK 99669-7500
Ph: (907) 714-4521 | Colleen Nusbaum, LCSW, CDCI
245 N Binkley St Ste 200,
Soldotna, AK 99669-7500
Ph: (907) 714-4521 |
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