Active NPI
Robert Sherrod Collins Jr., LMSW
- Social Worker
- Lilburn, GA
National Provider Identifier
1376088864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- MSW007062
- Practice address
- 5028 Joy LN SW
Lilburn, GA 30047-5168 - Phone
- (770) 624-4359
- NPI assigned
- Dec 20, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | MSW007062 | GA | Primary |
Addresses
Primary practice location
5028 Joy LN SW
Lilburn, GA 30047-5168
Mailing address
5028 Joy LN SW
Lilburn, GA 30047-5168
Phone (770) 624-4359
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSW007062 | GA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482192000000",
"number": "1376088864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5028 JOY LN SW",
"city": "LILBURN",
"state": "GA",
"postal_code": "300475168",
"telephone_number": "770-624-4359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5028 JOY LN SW",
"city": "LILBURN",
"state": "GA",
"postal_code": "300475168",
"telephone_number": "770-624-4359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "ROBERT",
"middle_name": "SHERROD",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-12-20",
"last_updated": "2016-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "MSW007062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lilburn, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.