Provider Demographics
NPI:1528846136
Name:COLBERT, PORTIA E (LICSWA, LCSW)
Entity type:Individual
Prefix:
First Name:PORTIA
Middle Name:E
Last Name:COLBERT
Suffix:
Gender:F
Credentials:LICSWA, LCSW
Other - Prefix:MRS
Other - First Name:PORTIA
Other - Middle Name:EUNIQUE
Other - Last Name:SEALS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW
Mailing Address - Street 1:100 N HOWARD ST STE R
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-0508
Mailing Address - Country:US
Mailing Address - Phone:360-207-6043
Mailing Address - Fax:863-583-8524
Practice Address - Street 1:100 N HOWARD ST STE R
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-0508
Practice Address - Country:US
Practice Address - Phone:863-838-7724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-15
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC614823151041C0700X
FLSW248881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical