Organization Active NPI

Richard S. Collie LCSW PLLC

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1164828851
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R-080045-1 Issued in NY
Legal business name
RICHARD S. COLLIE LCSW PLLC
Practice address
352 7TH Ave
Suite 1001
New York, NY 10001-5012
Phone
(917) 232-7259
Fax
(718) 709-7471
NPI assigned
Nov 7, 2014
Last updated
Feb 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Authorized official

Name
Mr. Richard S. Collie, LCSWNPI 1083767412
Title
Psychotherapist
Phone
(917) 232-7259

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X R-080045-1 NY Primary

Addresses

Primary practice location

352 7TH Ave
Suite 1001
New York, NY 10001-5012

Mailing address

716 Ocean Ave
#19
Brooklyn, NY 11226-5383
Phone (917) 232-7259

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150318000046 NY Part B Supplier - Clinic/Group Practice 9032436761 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1164828851",
    "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": "352 7TH AVE",
            "address_2": "SUITE 1001",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015012",
            "telephone_number": "917-232-7259",
            "fax_number": "718-709-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD S. COLLIE LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-07",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "COLLIE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "917-232-7259",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R-080045-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.