Individual provider Active NPI

Jacquelyn Collins

  • Clinical Social Worker
  • Marana, AZ
National Provider Identifier
1154767184
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-23367 Issued in AZ
Practice address
13395 N Marana Main St BLDG B
Marana, AZ 85653-7008
Phone
(520) 682-1091
Fax
(520) 682-4132
NPI assigned
May 16, 2013
Last updated
Dec 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-23367 AZ Primary

Addresses

Primary practice location

13395 N Marana Main St BLDG B
Marana, AZ 85653-7008

Mailing address

PO Box 188
Marana, AZ 85653-0188
Phone (520) 682-4111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20251120001660 AZ Practitioner - Clinical Social Worker 1951893643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marana Health Center IncGroup PAC ID 2365348091, 114 clinicians

Practice addresses (Care Compare)

13395 N Marana Main St
Marana, AZ 85653-7008
Phone (520) 682-4111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-23367AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Marana Health Center Inc CurrentSince Jan 1, 2026 Accepting new patients
Marana Health Center, Inc Current Accepting new patients
Marana Health Center, Inc Past Accepting new patients
Marana Health Center Inc Past Accepting new patients

Locations

13395 N Marana Main St
Marana, AZ 85653
Phone (520) 616-6200

13395 N Marana Main St
Bldg B
Marana, AZ 85653
Phone (520) 682-1091

13395 N Marana Main St
Ste B
Marana, AZ 85653

5224 W Dove Centre Rd
Marana, AZ 85658
Phone (520) 616-1445

1856 E Innovation Park Dr
Oro Valley, AZ 85755
Phone (520) 825-7111

1323 W Prince Rd
Tucson, AZ 85705
Phone (520) 887-0800

16701 N Oracle Rd
Ste 135
Tucson, AZ 85739
Phone (520) 682-1095

1707 W Saint Marys Rd
Ste 175
Tucson, AZ 85745
Phone (520) 616-6790

2945 W Ina Rd
Ste 215221
Tucson, AZ 85741
Phone (520) 616-1531

3690 S Park Ave
Ste 805
Tucson, AZ 85713
Phone (520) 616-1560

899 N Wilmot Rd
Ste B
Tucson, AZ 85711
Phone (520) 290-1100

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1154767184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856530188",
            "telephone_number": "520-682-4111",
            "fax_number": "520-616-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13395 N MARANA MAIN ST BLDG B",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856537008",
            "telephone_number": "520-682-1091",
            "fax_number": "520-682-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "JACQUELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-16",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-23367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marana, AZ

Sources for this page

Verify at the official NPI Registry.