Individual provider Active NPI

Kirsten Collins, MA

  • Clinical Social Worker
  • Billerica, MA
National Provider Identifier
1669536512
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
Lahey Health Primary Care, Billerica
790 Boston Road, Suite 301
Billerica, MA 01821
Phone
(978) 670-8500
Fax
(978) 670-8548
NPI assigned
Dec 21, 2006
Last updated
Jun 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

Lahey Health Primary Care, Billerica
790 Boston Road, Suite 301
Billerica, MA 01821

Mailing address

Lahey Provider Enrollment Department
41 Mall Road
Burlington, MA 01805
Phone (781) 744-8085

Other practice location 1

60 Merrimack St
Haverhill, MA 01830-6207
Phone (978) 373-1126 ext. 6380

Other practice location 2

60 Merrimack St
Haverhill, MA 01830-6207
Phone (978) 373-1126 ext. 6380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1669536512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LAHEY PROVIDER ENROLLMENT DEPARTMENT",
            "address_2": "41 MALL ROAD",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "01805",
            "telephone_number": "781-744-8085",
            "fax_number": "781-744-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LAHEY HEALTH PRIMARY CARE, BILLERICA",
            "address_2": "790 BOSTON ROAD, SUITE 301",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "01821",
            "telephone_number": "978-670-8500",
            "fax_number": "978-670-8548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Merrimack St",
            "address_purpose": "LOCATION",
            "city": "Haverhill",
            "state": "MA",
            "postal_code": "018306207",
            "country_code": "US",
            "telephone_number": "978-373-1126 x6380",
            "fax_number": "978-373-6363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Merrimack St",
            "address_purpose": "LOCATION",
            "city": "Haverhill",
            "state": "MA",
            "postal_code": "018306207",
            "country_code": "US",
            "telephone_number": "978-373-1126 x6380",
            "fax_number": "978-373-6363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "KIRSTEN",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billerica, MA

Sources for this page

Verify at the official NPI Registry.