Active NPI
Sandra M Collier, MSW, LCSW
- Clinical Social Worker
- East Saint Louis, IL
National Provider Identifier
1598996324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2007014404
- Practice address
- 505 S 8TH St
East Saint Louis, IL 62201-2919 - Phone
- (618) 482-7330
- Fax
- (618) 482-7639
- NPI assigned
- Jul 28, 2009
- Last updated
- Apr 5, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2007014404 | MO | Primary |
| Clinical Social Worker | 1041C0700X | 149014209 | IL |
Addresses
Primary practice location
505 S 8TH St
East Saint Louis, IL 62201-2919
Mailing address
203 Glenlake Dr
Glen Carbon, IL 62034-1112
Phone (618) 288-5497
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149014209 | IL | MD | Clinical Social Worker |
| 2007014404 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301961600000",
"number": "1598996324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 GLENLAKE DR",
"city": "GLEN CARBON",
"state": "IL",
"postal_code": "620341112",
"telephone_number": "618-288-5497",
"fax_number": "618-288-5403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 S 8TH ST",
"city": "EAST SAINT LOUIS",
"state": "IL",
"postal_code": "622012919",
"telephone_number": "618-482-7330",
"fax_number": "618-482-7639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLIER",
"first_name": "SANDRA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-28",
"last_updated": "2011-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2007014404",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149014209",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Saint Louis, IL
- Children's Center for Behavioral Development
- Children's Home and Aid
- Choice Community Care, Inc.
- Alicia Michelle Collier
- Laura A. Collier, CNP
- Bernice Laverne Collins, PH.D.
- Comprehensive Behavioral Health Center
- Comprehensive Behavioral Health Center of St. Clair County, Inc.
- Comprehensive Behavioral Health Center of St. Clair County, Inc.
- Comprehensive Behavioral Health Center of St. Clair County, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.