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MR. COLBY JAMES REZAYAT LICSW, SUDPT, GMHS
NPI 1447666532
Social Worker - Clinical in Mount Vernon, WA

Active since July 09, 2014
816 N 15TH ST, MOUNT VERNON, WA 98273(360) 421-2065 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 12, 2024, Feb 2, 2023, Jan 24, 2016 (3 updates tracked since 2016).

About Mr. Colby James Rezayat Licsw, Sudpt, Gmhs NPPES

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

MR. COLBY JAMES REZAYAT LICSW, SUDPT, GMHS (NPI 1447666532) is an individual clinical provider in Mount Vernon, Washington, licensed in Washington (LW61096339) and active in the NPI registry since July 2014. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1447666532
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. COLBY JAMES REZAYATCredential: LICSW, SUDPT, GMHS
Location Address816 N 15TH STMount Vernon, WA 98273-3417
Mailing Address816 N 15th StMount Vernon, WA 98273-3417 · (360) 421-2065 · Fax (360) 757-0136
Phone(360) 421-2065
Sole ProprietorNo
Enumeration DateJuly 9, 2014
Last NPPES UpdateNovember 12, 20243 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
✔ NPI 1447666532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WA · LW61096339
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.
816 N 15TH ST, Mount Vernon, WA 98273
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Secondary Practice Locations 2

Location 1614 Peterson RdBurlington, WA 98233-2606 · Phone (360) 757-0131 · Fax (360) 757-0136
Location 2811 Madison StEverett, WA 98203-4543 · Phone (425) 212-4285 · Fax (425) 293-0785

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 Colby Rezayat's NPI number?

The NPI number for Colby Rezayat is 1447666532. It was assigned to this individual provider in the NPPES registry on July 9, 2014.

Where is Colby Rezayat located?

Colby Rezayat practices at 816 N 15th St, Mount Vernon, WA 98273. The listed phone number is (360) 421-2065.

What is Colby Rezayat's specialty?

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

When was this NPI record last updated?

The NPPES record for Colby Rezayat was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.