MEDICARE: MADELYN SHALEE-KAY COLBY 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
1	104100000X	Social Worker	118745	IA

General Provider Information

NPI Number	:	1497532568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADELYN SHALEE-KAY COLBY LMSW

Provider Business Mailing Address
First Line	:	4949 PLEASANT ST STE 104
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-5494
Country	:	US
Telephone Number	:	515-369-0034
Fax Number	:

Provider Business Practice Location Address
First Line	:	4949 PLEASANT ST STE 104
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-5494
Country	:	US
Telephone Number	:	515-369-0034
Fax Number	:

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

Provider Enumeration Date	:	09/12/2023
Last Update Date	:	06/29/2026

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