Camilla C. Collins LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CAMILLA C. COLLINS LLC

Practice address

16 Appaloosa CT
Wentzville, MO 63385-4514

Phone

(636) 293-0517

NPI assigned

Jun 23, 2023

Organization subpart

No

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

Authorized official

Name

Camilla C Collins, MSW, LCSWNPI 1275104069

Title

Owner

Phone

(636) 293-0517

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Camilla Carolyn Collins, MSW, LCSW

  • Clinical Social Worker
  • Wentzville, MO
  • NPI 1275104069
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1558047613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 WENTZVILLE PKWY STE 114",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 APPALOOSA CT",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633854514",
            "telephone_number": "636-293-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMILLA C. COLLINS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-23",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "CAMILLA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-293-0517",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Willard Byrd, D.O.
• Dawn M Calabrese, PA-C
• Cheryl Linville Callier, RPH
• Megan D Callier
• Gina R Calvin, FNP
• Kayla Elayne Campbell, PHD, PLP
• Matthew Jay Carlisle, R.PH.
• Andrew D Cartmill, DPT
• Tara Marie Casaletto, MSN-FNP
• Jacqueline Sova Castagno, PA-C

• Clinical Social Worker in Wentzville, MO
• Providers in Wentzville, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.