Active NPI
Terri Lyn Collins, LCSW-C
- Clinical Social Worker
- Baltimore, MD
National Provider Identifier
1194058610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 13410
- Practice address
- 8109 Harford Rd Ste 6
Baltimore, MD 21234-9205 - Phone
- (443) 835-1167
- NPI assigned
- Sep 16, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 13410 | MD | Primary |
Addresses
Primary practice location
8109 Harford Rd Ste 6
Baltimore, MD 21234-9205
Mailing address
7702 Gaither Rd
Sykesville, MD 21784-7123
Phone (443) 280-2227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 039961200 | Medicaid | MD |
Other names 1
- Terri Lyn Holland
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13410 | MD | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cynthia Voelz | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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": "1253059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336089600000",
"number": "1194058610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7702 GAITHER RD",
"city": "SYKESVILLE",
"state": "MD",
"postal_code": "217847123",
"telephone_number": "443-280-2227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8109 HARFORD RD STE 6",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212349205",
"telephone_number": "443-835-1167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "TERRI",
"middle_name": "LYN",
"name_prefix": "Ms.",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-16",
"last_updated": "2012-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "13410",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "039961200",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TERRI",
"last_name": "HOLLAND",
"middle_name": "LYN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.