Individual provider Active NPI

Patrick Collins

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1487060059
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P008892 Issued in NC
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

Updated by the provider on Jul 3, 2014

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
The Charlotte-Mecklenburg Hospital AuthorityGroup PAC ID 2961310685, 594 clinicians
Presbyterian Samaritan Counseling CenterGroup PAC ID 2264971779, 6 clinicians

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

LicenseStateTypeSpecialty
P008892NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Charlotte-Mecklenburg Hospital Authority Clinical CurrentSince Oct 30, 2025 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
Presbyterian Samaritan Counseling Center CurrentSince May 16, 2024 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Oct 30, 2025 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.

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

Verify at the official NPI Registry.