Individual provider Active NPI

Anna Collins, LMSW

  • Clinical Social Worker
  • Petoskey, MI
National Provider Identifier
1396604278
Registry record updated Jan 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
68011119697 Issued in MI
Practice address
2810 Charlevoix Rd Ste 102
Petoskey, MI 49770-8421
Phone
(231) 340-9113
Fax
(231) 642-9116
NPI assigned
Jan 17, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2026

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 68011119697 MI Primary

Addresses

Primary practice location

2810 Charlevoix Rd Ste 102
Petoskey, MI 49770-8421

Mailing address

703 Michigan St
Petoskey, MI 49770-2645
Phone (616) 516-9928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20260521001444 MI Practitioner - Clinical Social Worker 1759850530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Petoskey Psychological Health and Wellness PLLCGroup PAC ID 5698012201, 5 clinicians

Practice addresses (Care Compare)

2810 Charlevoix Rd
Suite 102
Petoskey, MI 49770-8421
Phone (231) 340-9113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
68011119697MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Petoskey Psychological Health and Wellness, PLLC CurrentSince Apr 8, 2026 Accepting new patients

Locations

2810 Charlevoix Rd
Ste 102
Petoskey, MI 49770
Phone (231) 340-9113

Organizations & group practices 1

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": "1768608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768608000000",
    "number": "1396604278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 MICHIGAN ST",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702645",
            "telephone_number": "616-516-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 CHARLEVOIX RD STE 102",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708421",
            "telephone_number": "231-340-9113",
            "fax_number": "231-642-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "ANNA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-17",
        "last_updated": "2026-01-17",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "68011119697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

Verify at the official NPI Registry.