Active NPI
Maureen Erin Collins, LICSWA
- Clinical Social Worker
- Omak, WA
National Provider Identifier
1376358747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 61410104
- Practice address
- 1007 Koala Dr
Omak, WA 98841-9247 - Phone
- (509) 826-6191
- NPI assigned
- Feb 11, 2025
- Sex
- Female
- Sole proprietor
- No
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 | 61410104 | WA | Primary |
Addresses
Primary practice location
1007 Koala Dr
Omak, WA 98841-9247
Mailing address
1007 Koala Dr
Omak, WA 98841-9247
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260326002400 | WA | Practitioner - Clinical Social Worker | 8022593102 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Okanogan Behavioral Healthcare
Practice addresses (Care Compare)
1007 Koala Dr
Omak, WA 98841-9247
Phone (509) 826-6191
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61410104 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Okanogan Behavioral Healthcare | Current | Accepting new patients | |
| Mindcare Solutions of Texas PA | Current | Accepting new patients |
Locations
1007 Koala Dr
Omak, WA 98841
Phone (509) 826-8409
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Austin, TX
- NPI 1396290730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739232000000",
"number": "1376358747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1007 KOALA DR",
"city": "OMAK",
"state": "WA",
"postal_code": "988419247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 KOALA DR",
"city": "OMAK",
"state": "WA",
"postal_code": "988419247",
"telephone_number": "509-826-6191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "MAUREEN",
"middle_name": "ERIN",
"credential": "LICSWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-11",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "61410104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omak, WA
- Sarah Clausen
- Shannon Clay, MS MHP
- Rochelle F Cline, LMHCA
- Chelsea J Cloud, ND
- Kevan Christina Coffey, ARNP
- Andrew John Conboy, PA-C
- Confederated Tribes of the Colville Reservation
- Confederated Tribes of the Colville Reservation
- Confederated Tribes of the Colville Reservation
- Gay Uleen Conley, HEARING SPEC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.