Suzette Collier, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R038272-01 Issued in NY

Practice address

880 Bergen St
Brooklyn, NY 11238-3301

Phone

(718) 613-7511

Fax

(718) 613-7564

NPI assigned

Apr 16, 2021

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

Electronic endpoints 1

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": "1618531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1497336093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 BERGEN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112383301",
            "telephone_number": "718-613-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 BERGEN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112383301",
            "telephone_number": "718-613-7511",
            "fax_number": "718-613-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "SUZETTE",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-16",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R038272-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "scollier@interfaithmedical.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "880 Bergen St",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112383301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eboni A Coller
• Laura Faye Collett, CPNP
• Sabrina Colletti
• Sonia Marie Colley
• Rashawn Collier
• Alia Collingwood
• Juliet Lisa Collingwood, PSY.D.
• Treneta Collingwood
• Collins Wellcare Medical, P.C.
• Aaron Collins, CASAC-T

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.