Individual provider Active NPI

Terri Lyn Collins-Green, LCSW-C

  • Clinical Social Worker
  • Windsor Mill, MD
National Provider Identifier
1194058610
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13410 Issued in MD
Practice address
2500 N Rolling Rd Ste 102
Windsor Mill, MD 21244-1999
Phone
(301) 571-7200
NPI assigned
Sep 16, 2009
Last updated
Oct 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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 13410 MD Primary

Addresses

Primary practice location

2500 N Rolling Rd Ste 102
Windsor Mill, MD 21244-1999

Mailing address

3408 Yataruba Dr
Gwynn Oak, MD 21207-4535
Phone (443) 280-2227

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

LicenseStateTypeSpecialty
13410MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Ridge Wellness, LLC PastSince Jun 3, 2025 Accepting new patients
Cynthia Voelz Clinical Past Accepting new patients
Bon Ridge Wellness, LLC Clinical PastSince Jul 22, 2025 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, 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": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1194058610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 YATARUBA DR",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212074535",
            "telephone_number": "443-280-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N ROLLING RD STE 102",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212441999",
            "telephone_number": "301-571-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS-GREEN",
        "first_name": "TERRI",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-16",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor Mill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.