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SAM COLBY ASW
NPI 1174912232
Social Worker - Clinical in Sacramento, CA

Active since January 13, 2015PECOS Enrolled
811 GRAND AVE, SACRAMENTO, CA 95838(916) 922-9868 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 10, 2023, Oct 6, 2022, Sep 29, 2020 and 1 more (4 updates tracked since 2020).

About Sam Colby Asw NPPES

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

SAM COLBY ASW (NPI 1174912232) is an individual clinical provider in Sacramento, California and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174912232
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameSAM COLBYCredential: ASW
Location Address811 GRAND AVESacramento, CA 95838-3466
Mailing Address811 Grand Ave Ste DSacramento, CA 95838-3466
Phone(916) 922-9868
Sole ProprietorNo
Enumeration DateJanuary 13, 2015
Last NPPES UpdateAugust 10, 20234 updates tracked since enumeration
NPPES CertifiedAugust 10, 2023
✔ NPI 1174912232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedSocial WorkerTaxonomy 104100000X · License 97119 (CA)
811 GRAND AVE, Sacramento, CA 95838
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Other Identifiers 1

Medicaid1041C0700XCA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sam Colby Asw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95838 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.44 – $180.85
Typical copayment $0.00 (range $15.11 – $45.21)
Most-billed visit code NA
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MARICELA DELGADO
Community Health Worker
811 GRAND AVE
SACRAMENTO, CA 95838
Sacramento County (916) 922-9868
OLIVIA CARRILLO
Social Worker (Clinical)
811 GRAND AVE
SACRAMENTO, CA 95838
Sacramento County (916) 942-9060
GABRIELA WENCE
Adult Companion
811 GRAND AVE
SACRAMENTO, CA 95838
Sacramento County (916) 922-9868
DANIELLE DENISE LAWRENCE LCSW
Social Worker (Clinical)
811 GRAND AVE, SUITE D
SACRAMENTO, CA 95838
Sacramento County (916) 922-9868
PROFESSIONAL PHARMACY CARE INC.
Pharmacy
811 GRAND AVE, SUITE A2
SACRAMENTO, CA 95838
Sacramento County (916) 922-4512
ALEXANDRIA ROSEMARY MORA LMFT
Marriage & Family Therapist
811 GRAND AVE
SACRAMENTO, CA 95838
Sacramento County (916) 922-9868
PENNY ANN MARSH LMFT
Marriage & Family Therapist
811 GRAND AVE, D
SACRAMENTO, CA 95838
Sacramento County (916) 922-9868
BJ DE QUIROZ
Case Manager/Care Coordinator
811 GRAND AVE
SACRAMENTO, CA 95838
Sacramento County (916) 922-9868

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 Sam Colby's NPI number?

The NPI number for Sam Colby is 1174912232. It was assigned to this individual provider in the NPPES registry on January 13, 2015.

Where is Sam Colby located?

Sam Colby practices at 811 Grand Ave, Sacramento, CA 95838. The listed phone number is (916) 922-9868.

What is Sam Colby's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Sam Colby enrolled in Medicare?

Yes. Sam Colby is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sam Colby was last updated on August 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.