Olivia Collins, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9676 Issued in LA

Practice address

1103 Hudson LN
Monroe, LA 71201-6066

Phone

(318) 322-6500

Fax

(318) 322-5118

NPI assigned

May 2, 2012

Last updated

Apr 20, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Libby Wilburn Former name

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Solutions Counseling CenterGroup PAC ID 2466821814, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Solutions Counseling Center

  • Counselor
  • Monroe, LA
  • NPI 1063666212

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD
• Family Solutions Pediatrics, LLC

  • Pediatrics Physician
  • Monroe, LA
  • NPI 1396206223
  NPD (past)

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1558629139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 HUDSON LN",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712016066",
            "telephone_number": "318-322-6500",
            "fax_number": "318-322-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 HUDSON LN",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712016066",
            "telephone_number": "318-322-6500",
            "fax_number": "318-322-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "OLIVIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-02",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "1319",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "9676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIBBY",
            "last_name": "WILBURN",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ivory Collins
• Iylon Collins
• Jarred Cyreus Collins, LPC
• Latyra Collins
• Mary C Collins
• Tameka Shaunta Collins
• Carissa M Collum, LPN
• Tatiyana Colquitt
• Columbia Healthcare Systems of la, Inc
• Porsche L Colvin

• Clinical Social Worker in Monroe, LA
• Providers in Monroe, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.

Verify at the official NPI Registry.