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MRS. COLLEEN CARROLL HOLBROOK LICSW, CMHS
NPI 1790992337
Social Worker - Clinical in Edmonds, WA

Active since May 16, 2007Opted out of Medicare · through Oct 10, 2026
420 5TH AVE S STE 201, EDMONDS, WA 98020(206) 550-3502 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Colleen Carroll Holbrook Licsw, Cmhs NPPES

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

MRS. COLLEEN CARROLL HOLBROOK LICSW, CMHS (NPI 1790992337) is an individual clinical provider in Edmonds, Washington, licensed in Washington (LW00005296) and active in the NPI registry since May 2007. She has opted out of Medicare through October 10, 2026.

NPPES Registry Identity

NPI1790992337
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. COLLEEN CARROLL HOLBROOKCredential: LICSW, CMHS
Location Address420 5TH AVE S STE 201Edmonds, WA 98020-3632
Mailing Address420 5th Ave S Ste 201Edmonds, WA 98020-3632 · (206) 550-3502
Phone(206) 550-3502
Sole ProprietorYes
Enumeration DateMay 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1790992337 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 · LW00005296
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.
420 5TH AVE S STE 201, Edmonds, WA 98020
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Mrs. Colleen Carroll Holbrook Licsw, Cmhs has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 10, 2024 through October 10, 2026.

Opt-Out Effective DateOctober 10, 2024
Opt-Out In Effect ThroughOctober 10, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Holbrook's NPI number?

The NPI number for Colleen Holbrook is 1790992337. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Where is Colleen Holbrook located?

Colleen Holbrook practices at 420 5th Ave S Ste 201, Edmonds, WA 98020. The listed phone number is (206) 550-3502.

What is Colleen Holbrook's specialty?

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

Is Colleen Holbrook enrolled in Medicare?

No. Colleen Holbrook has opted out of Medicare through October 10, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Colleen Holbrook accept?

Health plans from PacificSource Health Plans list Colleen Holbrook as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Colleen Holbrook was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.