Individual provider Active NPI

Nathan Collins, LCSW

  • Clinical Social Worker
  • San Francisco, CA
National Provider Identifier
1124365838
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW112501 Issued in CA
Practice address
982 Mission St
San Francisco, CA 94103-2911
Phone
(628) 333-1958
NPI assigned
Jan 15, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 90806 CA
Clinical Social Worker 1041C0700X LCSW112501 CA Primary

Addresses

Primary practice location

982 Mission St
San Francisco, CA 94103-2911

Mailing address

640 Post St
#805
San Francisco, CA 94109-8210
Phone (415) 359-0084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20231004000081 CA Practitioner - Clinical Social Worker 0345694790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of California San FranciscoGroup PAC ID 3678547304, 56 clinicians

Practice addresses (Care Compare)

982 Mission St
San Francisco, CA 94103-2911
Phone (415) 597-8090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
90806CAMDCounselor
LCSW112501CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Aug 21, 2023 Accepting new patients
University of California San Francisco Clinical Current Accepting new patients
University of California, San Francisco CurrentSince Aug 21, 2023 Accepting new patients

Organizations & group practices 3

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": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1124365838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 POST ST",
            "address_2": "#805",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941098210",
            "telephone_number": "415-359-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "982 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032911",
            "telephone_number": "628-333-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "NATHAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-15",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "90806",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW112501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.