Pamela J Collier, M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801078090 Issued in MI

Practice address

3000 Monroe Ave NE
Grand Rapids, MI 49505-3397

Phone

(616) 364-5295

Fax

(616) 365-3804

NPI assigned

Jul 11, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457386302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 MONROE AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495053397",
            "telephone_number": "616-364-5295",
            "fax_number": "616-365-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MONROE AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495053397",
            "telephone_number": "616-364-5295",
            "fax_number": "616-365-3804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "PAMELA",
        "middle_name": "J",
        "credential": "M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801078090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "P00054231",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John William Colford, M.D.
• Katherine Ann Collen, BA
• Kaitlyn Hope Collette
• Danielle Colliau, FNP
• Kariyanna Collier
• Arianna Collins
• Benjamin David Collins, LLC
• Benjamin Lee Collins
• Brittney Grace Collins
• Emilie A Collins, MD

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, 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 Jul 8, 2007; 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.