MEDICARE: DONNA CHIOKE-COLBERT LCSW-C

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
1	1041C0700X	Clinical Social Worker	16942	MD

General Provider Information

NPI Number	:	1942783881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONNA CHIOKE-COLBERT LCSW-C

Provider Business Mailing Address
First Line	:	5500 KNOLL NORTH DR STE 370
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21045-2393
Country	:	US
Telephone Number	:	410-837-2050
Fax Number	:

Provider Business Practice Location Address
First Line	:	1812 BALTIMORE BLVD STE B
Second Line	:
City	:	WESTMINSTER
State	:	MD
Zip	:	21157-7144
Country	:	US
Telephone Number	:	646-255-4822
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2018
Last Update Date	:	11/04/2024

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