Active NPI
Eisha Collins, LCSW
- Clinical Social Worker
- Dallas, TX
National Provider Identifier
1023715794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 57289
- Practice address
- 8350 N Central Expy Ste 1900
Dallas, TX 75206-1604 - Phone
- (214) 817-8603
- NPI assigned
- Feb 13, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 57289 | TX | Primary |
Addresses
Primary practice location
8350 N Central Expy Ste 1900
Dallas, TX 75206-1604
Mailing address
430 Hawkins Run Rd Ste 3
Midlothian, TX 76065-6662
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57289 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Curis Functional Health | Single Specialty | Current | Accepting new patients |
Locations
430 Hawkins Run Rd
Ste 3
Midlothian, TX 76065
Phone (214) 817-8603
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1023715794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 HAWKINS RUN RD STE 3",
"city": "MIDLOTHIAN",
"state": "TX",
"postal_code": "760656662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8350 N CENTRAL EXPY STE 1900",
"city": "DALLAS",
"state": "TX",
"postal_code": "752061604",
"telephone_number": "214-817-8603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS, LCSW",
"first_name": "EISHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-13",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "57289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.