Provider Demographics
NPI:1326471483
Name:COLITZ, BARBARA J (LCSW)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:J
Last Name:COLITZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3614 W COBALT CT
Mailing Address - Street 2:
Mailing Address - City:SAN TAN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85144-3905
Mailing Address - Country:US
Mailing Address - Phone:949-357-8882
Mailing Address - Fax:
Practice Address - Street 1:3614 W COBALT CT STE 200
Practice Address - Street 2:
Practice Address - City:SAN TAN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85144-3905
Practice Address - Country:US
Practice Address - Phone:949-357-8882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-13
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 187871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical