Mary E. Collins, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

73070953 Issued in NY

Practice address

29 Fennell St
Skaneateles, NY 13152-1117

Phone

(315) 673-9845

NPI assigned

Sep 21, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Skiff Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Skaneateles, NY
  • NPI 1962862581
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1013016583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 242",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "131520242",
            "telephone_number": "315-554-8117",
            "fax_number": "315-554-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 FENNELL ST",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "131521117",
            "telephone_number": "315-673-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "MARY",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "73070953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John G. Carlile, DDS
• James B Carranti, LMT
• Casimir K Bobowski OD
• Dorothy Clark, RN
• Stephanie D Clark, LCSW
• CVS Albany, L.L.C.
• D W Halliday MD PHD PLLC
• Anna D'Arrigo, DPT
• David P Locastro, MD, PC
• Rachel Dean, DC

• All providers in Skaneateles, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.