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COLLEEN WOODARD CDAC-1
NPI 1154720183
Counselor - Addiction (Substance Use Disorder) in Lake Elsinore, CA

Active since August 14, 2014
31764 CASINO DR STE 200, LAKE ELSINORE, CA 92530(909) 573-7618 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 18, 2024, May 9, 2024, Feb 16, 2021 and 2 more (5 updates tracked since 2017).

About Colleen Woodard Cdac-1 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLEEN WOODARD CDAC-1 (NPI 1154720183) is an individual addiction (substance use disorder) provider in Lake Elsinore, California, licensed in California (CICA00670319) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1154720183
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCOLLEEN WOODARDCredential: CDAC-1
Location Address31764 CASINO DR STE 200Lake Elsinore, CA 92530-2312
Mailing Address23119 Cottonwood AveMoreno Valley, CA 92553-9661 · (951) 413-5130 · Fax (951) 413-5230
Phone(909) 573-7618
Sole ProprietorNo
Enumeration DateAugust 14, 2014
Last NPPES UpdateSeptember 18, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1154720183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · CICA00670319
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License CICA00670319 (CA)
31764 CASINO DR STE 200, Lake Elsinore, CA 92530
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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE BAUERLEIN ASW
Social Worker
31764 CASINO DR STE 200
LAKE ELSINORE, CA 92530
Riverside County (951) 471-4366
EVELYN RAMIREZ BELTRAN
Case Manager/Care Coordinator
31764 CASINO DR STE 200
LAKE ELSINORE, CA 92530
Riverside County (951) 471-4649
CAREY ANN CZUCZKA
Counselor
31764 CASINO DR STE 200
LAKE ELSINORE, CA 92530
Riverside County (951) 471-4649
MR. CHRISTOPHER MICHAEL GALLES RADT
Counselor (Addiction (Substance Use Disorder))
31764 CASINO DR STE 200
LAKE ELSINORE, CA 92530
Riverside County (951) 459-1609
ESTEVAN GONZALEZ
Counselor (Addiction (Substance Use Disorder))
31764 CASINO DR STE 200
LAKE ELSINORE, CA 92530
Riverside County (951) 471-4649
APRIEL EVE CELESTE GAMBOA
Counselor (Addiction (Substance Use Disorder))
31764 CASINO DR STE 200
LAKE ELSINORE, CA 92530
Riverside County (951) 471-4649
DANIAL RAY PHIPPS JR.
Peer Specialist
31764 CASINO DR STE 200
LAKE ELSINORE, CA 92530
Riverside County (951) 471-4649
STEPHANIE S WEBSTER CADC III
Counselor (Addiction (Substance Use Disorder))
31764 CASINO DR STE 200
LAKE ELSINORE, CA 92530
Riverside County (951) 471-4649

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colleen Woodard's NPI number?

The NPI number for Colleen Woodard is 1154720183. It was assigned to this individual provider in the NPPES registry on August 14, 2014.

Where is Colleen Woodard located?

Colleen Woodard practices at 31764 Casino Dr Ste 200, Lake Elsinore, CA 92530. The listed phone number is (909) 573-7618.

What is Colleen Woodard's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Colleen Woodard was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.