Camilla Carolyn Collins, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2021013237 Issued in MO

Practice address

16 Appaloosa CT
Wentzville, MO 63385-4514

Phone

(636) 293-0517

NPI assigned

Jul 2, 2021

Last updated

Jun 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Camilla C. Collins LLC

  • Clinical Social Worker
  • Wentzville, MO
  • NPI 1558047613
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1275104069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 WENTZVILLE PKWY STE 114",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853424",
            "telephone_number": "636-293-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 APPALOOSA CT",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633854514",
            "telephone_number": "636-293-0517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2055 Craigshire Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631464012",
            "country_code": "US",
            "telephone_number": "314-737-0020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "CAMILLA",
        "middle_name": "CAROLYN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-02",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2023015563",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2021013237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Clement, ARNP-C
• Stephanee Click, RN, MSN, FNP-BC
• Brooke Adams Colbert, M.D.
• Margaret Joan Colegrove, COTA/L
• Gabrielle E Collier, M.S.
• Virginia Anne Collins, LCSW
• Community Loving Care Hospice, L.L.C.
• Compass Health, Inc
• Compass Health, Inc. (Pathways Community Behavioral Healthcare)
• Compass Health, Inc. (Pathways Community Behavioral Healthcare)

• Clinical Social Worker in Wentzville, MO
• Providers in Wentzville, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.