DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MR. COLIN KENNETH MANDIGO LMSW

MEDICARE: MR. COLIN KENNETH MANDIGO LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker6801115066MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
16801115066OTHERMILARA BOARD OF SOCIAL WORK MASTERS SOCIAL WORKER LICENSE CLINICAL

General Provider Information

NPI Number : 1427619667
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. COLIN KENNETH MANDIGO LMSW
Provider Business Mailing Address
First Line : 2880 MISSION DR
Second Line :
City : SHELBYVILLE
State : MI
Zip : 49344-9580
Country : US
Telephone Number : 269-397-1760
Fax Number : 269-397-1761
Provider Business Practice Location Address
First Line : 2880 MISSION DR
Second Line :
City : SHELBYVILLE
State : MI
Zip : 49344-9580
Country : US
Telephone Number : 269-397-1760
Fax Number : 269-397-1761
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2019
Last Update Date : 07/16/2025

Similar Medicare Providers

1952685588 — MATCH-E-BE-NASH-SHE-WISH BAND OF POTTAWATOMI INDIANS
Practice Location Address:
2880 MISSION DR
SHELBYVILLE, MI
49344-9580
Practice Phone: 269-397-1760
Practice Fax: 269-397-1763
1164834818 — MICHAEL CHRISTOPHER VIZACHERO M.D.
Practice Location Address:
2880 MISSION DR
SHELBYVILLE, MI
49344-9580
Practice Phone: 269-397-1760
Practice Fax: 269-397-1764
1679029847 — KRISTY DAYSON
Practice Location Address:
2880 MISSION DR
SHELBYVILLE, MI
49344-9580
Practice Phone: 269-397-1760
Practice Fax: 269-397-1761
1689232241 — MATCH-E-BE-NASH-SHE-WISH BAND OF POTTAWATOMI INDIANS
Practice Location Address:
2880 MISSION DR
SHELBYVILLE, MI
49344-9580
Practice Phone: 269-397-1760
Practice Fax:
1851926307 — LOGAN MAE FISH
Practice Location Address:
2880 MISSION DR
SHELBYVILLE, MI
49344-9580
Practice Phone: 732-545-6335
Practice Fax:
1679437032 — AUBRY ROSE DRAPER
Practice Location Address:
2880 MISSION DR
SHELBYVILLE, MI
49344-9580
Practice Phone: 269-397-1760
Practice Fax: 269-397-1764

Directions to “ MR. COLIN KENNETH MANDIGO LMSW” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.