Brianna F Collinson Wamback, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05867200 Issued in NJ

Practice address

87 Struble Rd
Sandyston, NJ 07826-5005

Phone

(908) 601-7673

NPI assigned

Jun 16, 2020

Last updated

Jun 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Brianna Faith Collinson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1437774387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 STRUBLE RD",
            "city": "SANDYSTON",
            "state": "NJ",
            "postal_code": "078265005",
            "telephone_number": "908-601-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 STRUBLE RD",
            "city": "SANDYSTON",
            "state": "NJ",
            "postal_code": "078265005",
            "telephone_number": "908-601-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINSON WAMBACK",
        "first_name": "BRIANNA",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05867200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNA",
            "last_name": "COLLINSON",
            "middle_name": "FAITH",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Taylor Bath, RDN
• Bonnie Hull
• April Jean Ientile, NURSE PRACTITIONER
• Rick Klatt, MSPT
• Lauren Taylord Health and Wellness LLC
• Ronald J Luszcz, DO

• Clinical Social Worker in Sandyston, NJ
• Providers in Sandyston, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.