Active NPI
Shannon Marie Collier, LCSW-S
- Clinical Social Worker
- Houston, TX
National Provider Identifier
1023456068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 5018 Antoine Dr Ste B-136
Houston, TX 77092 - Phone
- (785) 580-8402
- NPI assigned
- Jun 12, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
5018 Antoine Dr Ste B-136
Houston, TX 77092
Mailing address
5018 Antoine Dr Ste B-136
Houston, TX 77092-3357
Phone (785) 580-8402
Other practice location 1
620 SW Grandview Ave
Topeka, KS 66606-1817
Phone (785) 580-8402
Other practice location 2
2929 Fm 2920 Rd
Spring, TX 77388-3428
Phone (785) 580-8402
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564531200000",
"number": "1023456068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5018 ANTOINE DR STE B-136",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770923357",
"telephone_number": "785-580-8402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5018 ANTOINE DR STE B-136",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77092",
"telephone_number": "785-580-8402"
}
],
"practiceLocations": [
{
"address_1": "620 SW Grandview Ave",
"address_purpose": "LOCATION",
"city": "Topeka",
"state": "KS",
"postal_code": "666061817",
"country_code": "US",
"telephone_number": "785-580-8402",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2929 Fm 2920 Rd",
"address_purpose": "LOCATION",
"city": "Spring",
"state": "TX",
"postal_code": "773883428",
"country_code": "US",
"telephone_number": "785-580-8402",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLLIER",
"first_name": "SHANNON",
"middle_name": "MARIE",
"credential": "LCSW-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-12",
"last_updated": "2019-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.