Richard S. Collie, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R-080045-1 Issued in NY

Practice address

12 W 9TH St # 1B2
New York, NY 10011-8905

Phone

(917) 232-7259

Fax

(718) 709-7471

NPI assigned

Jan 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Richard S. Collie LCSW PLLC

  • Clinical Social Worker
  • New York, NY
  • NPI 1164828851
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1083767412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 OCEAN AVE",
            "address_2": "#19",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112265383",
            "telephone_number": "917-232-7259",
            "fax_number": "718-709-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W 9TH ST # 1B2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118905",
            "telephone_number": "917-232-7259",
            "fax_number": "718-709-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIE",
        "first_name": "RICHARD",
        "middle_name": "S.",
        "name_prefix": "Mr.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080045-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R-080045-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Thomas Collett, NP
• Michelle Colletti, PA-C
• Gabriel Joshua Colley
• Jeremy Huston Colley, M.D.
• Patrick Michael Colley, M.D.
• Bryan John Collier, D.C.
• Elizabeth A Collier, CRNA
• Erin Rachel Collier, MD, MPH
• James Christopher Collier, PSY.D., ABSNP
• Kyle Collier, RN

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.