Active NPI
Patrick Collins
- Clinical Social Worker
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P008892
- Practice address
- 1011 Schaub Dr
Suite 200
Raleigh, NC 27606-1862 - Phone
- (919) 834-2000
- NPI assigned
- Jul 3, 2014
- Sex
- Male
- 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 | P008892 | NC | Primary |
Addresses
Primary practice location
1011 Schaub Dr
Suite 200
Raleigh, NC 27606-1862
Mailing address
1011 Schaub Dr
Suite 200
Raleigh, NC 27606-1862
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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 |
|---|---|---|---|---|
| I20161118001914 | NC | Practitioner - Clinical Social Worker | 4082993894 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1601 Abbey PL
Charlotte, NC 28209-3835
Phone (704) 444-2400
5203 Sharon Rd
Charlotte, NC 28210-4721
Phone (704) 554-9900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P008892 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Charlotte-Mecklenburg Hospital Authority | Clinical | Current | Accepting new patients |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| Presbyterian Samaritan Counseling Center | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients |
Locations
1601 Abbey Pl
Charlotte, NC 28209
Phone (704) 444-2400
5203 Sharon Rd
Charlotte, NC 28210
Phone (704) 554-9900
200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404345600000",
"number": "1487060059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 SCHAUB DR",
"address_2": "SUITE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276061862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 SCHAUB DR",
"address_2": "SUITE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276061862",
"telephone_number": "919-834-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "PATRICK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-03",
"last_updated": "2014-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P008892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.