Brandon Elias John Collins, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150.112263 Issued in IL

Practice address

450 E 22ND St Ste 158
Lombard, IL 60148-6175

Phone

(630) 474-3900

NPI assigned

Nov 3, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

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 and National Provider Directory roles.

• Madrigal Consulting and Counseling LLP

  • Clinical Social Worker
  • Lombard, IL
  • NPI 1649780016
  Medicare reassignment NPD

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1649043340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 MILTON DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633311",
            "telephone_number": "815-355-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E 22ND ST STE 158",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486175",
            "telephone_number": "630-474-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "BRANDON",
        "middle_name": "ELIAS JOHN",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-03",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.112263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle M Cole
• Audrey L Coleman, PT
• Tracey L Coleman
• Michael T Colletti, D.D.S.
• Vincent Colletti
• Eileen M. Collins, M.D.
• Matthew D Collins
• Sarah R. Colomb, PA
• Christel Comerouski, PT
• John T. Comerouski, PT

• Social Worker in Lombard, IL
• Providers in Lombard, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.