Active NPI
Corinne Collins, A.S.W.
- Social Worker
- Lafayette, CA
National Provider Identifier
1619346764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW67049
- Practice address
- 1 Fernside LN
Lafayette, CA 94549-5211 - Phone
- (925) 787-7061
- NPI assigned
- Sep 18, 2015
- Last updated
- Sep 18, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | ASW67049 | CA | Primary |
Addresses
Primary practice location
1 Fernside LN
Lafayette, CA 94549-5211
Mailing address
1 Fernside Lane
Lafayette, CA 94549
Phone (925) 787-7061
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW67049 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442534400000",
"number": "1619346764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FERNSIDE LANE",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "94549",
"telephone_number": "925-787-7061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 FERNSIDE LN",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "945495211",
"telephone_number": "925-787-7061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "CORINNE",
"credential": "A.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-18",
"last_updated": "2015-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW67049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.