Active NPI
Katelynn Collins
- Clinical Social Worker
- Logan, WV
National Provider Identifier
1154932259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 101 Dingess St
Logan, WV 25601-3603 - Phone
- (305) 688-9269
- Fax
- (681) 495-1522
- NPI assigned
- Aug 12, 2020
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
101 Dingess St
Logan, WV 25601-3603
Mailing address
101 Dingess St
Logan, WV 25601-3603
Phone (304) 688-9269
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Logan Professional Counseling Services | Current | Accepting new patients | |
| Logan Professional Counseling Services | Current | Accepting new patients |
Locations
101 Dingess St
Logan, WV 25601
Phone (304) 688-9269
Organizations & group practices 2
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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Logan, WV
- NPI 1851047385
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Logan, WV
- NPI 1891347704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1154932259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 DINGESS ST",
"city": "LOGAN",
"state": "WV",
"postal_code": "256013603",
"telephone_number": "304-688-9269",
"fax_number": "681-495-1522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 DINGESS ST",
"city": "LOGAN",
"state": "WV",
"postal_code": "256013603",
"telephone_number": "305-688-9269",
"fax_number": "681-495-1522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "KATELYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-12",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Logan, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.