Active NPI
Kirsten Collins, MA
- Clinical Social Worker
- Billerica, MA
National Provider Identifier
1669536512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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, 2019
- 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 |
|---|---|---|---|---|
| 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
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.