Individual provider Active NPI

Grant T. Collings

  • Clinical Social Worker
  • Joplin, MO
National Provider Identifier
1346588787
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2011022368 Issued in MO
Practice address
3220 Wisconsin Ave
Joplin, MO 64804-4017
Phone
(417) 347-7600
Fax
(417) 347-9810
NPI assigned
Jan 18, 2013
Last updated
Jan 18, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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 2011022368 MO Primary

Addresses

Primary practice location

3220 Wisconsin Ave
Joplin, MO 64804-4017

Mailing address

3220 Wisconsin Ave
Joplin, MO 64804-4017
Phone (417) 347-7600

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150513001281 MO Practitioner - Clinical Social Worker 3476873506 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling Associates of the Four States LLCGroup PAC ID 7012160435, 10 clinicians

Practice addresses (Care Compare)

705 W 26TH St
Joplin, MO 64804-1904
Phone (417) 627-9994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2011022368MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Associates of the Four States, LLC CurrentSince Feb 1, 2025 Accepting new patients
Ozark Center CurrentSince Apr 24, 2015 Accepting new patients
Ozark Center CurrentSince Apr 24, 2015 Accepting new patients

Locations

3220 Wisconsin Ave
Joplin, MO 64804
Phone (417) 347-7630

705 W 26th St
Joplin, MO 64804
Phone (417) 627-9994

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": "1358467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1346588787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 WISCONSIN AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044017",
            "telephone_number": "417-347-7600",
            "fax_number": "417-347-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 WISCONSIN AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044017",
            "telephone_number": "417-347-7600",
            "fax_number": "417-347-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINGS",
        "first_name": "GRANT",
        "middle_name": "T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2011022368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.