Patricia Collard, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801092161

Practice address

4205 Charlar Dr Ste 3
Holt, MI 48842-6809

Phone

(517) 367-0670

Fax

(517) 367-0681

NPI assigned

Mar 14, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Patricia Tiberi Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• DBT Center of Michigan, LLC

  • Clinical Social Worker
  • Holt, MI
  • NPI 1710114707
  NPD (past)
• DBT Institute of Mi

  • Community/Behavioral Health Agency
  • Mason, MI
  • NPI 1992552905
  NPD (past)

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1376818997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 CHARLAR DR STE 3",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488426809",
            "telephone_number": "517-367-0670",
            "fax_number": "517-367-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 CHARLAR DR STE 3",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488426809",
            "telephone_number": "517-367-0670",
            "fax_number": "517-367-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLARD",
        "first_name": "PATRICIA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-14",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "6801092161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "TIBERI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William A Clark, PA-C
• Kelly Coats, LLMSW
• Ashley M Cohoon, D.C
• Cole Rehabilitation Tech., Inc.
• Jessica Coleman, DC
• Samuel K Comden, NP
• Amy Lynn Cousineau, O.D.
• Bruce Craig, RSW
• Kristy Lynn Cross, RRT
• Crossroads Orthotics & Consultation, Inc.

• Clinical Social Worker in Holt, MI
• Providers in Holt, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.