Active NPI
Shanice Glenda Collins, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1700796331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 102942
- Practice address
- 1 Gustave Levy Place
New York, NY 10029 - Phone
- (347) 471-6799
- NPI assigned
- Sep 8, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 102942 | NY | Primary |
Addresses
Primary practice location
1 Gustave Levy Place
New York, NY 10029
Mailing address
342 Littleton Ave
Newark, NJ 07103-2365
Phone (347) 471-6799
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1700796331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "342 LITTLETON AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032365",
"telephone_number": "347-471-6799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GUSTAVE LEVY PLACE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10029",
"telephone_number": "347-471-6799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "SHANICE",
"middle_name": "GLENDA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-08",
"last_updated": "2026-09-08",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "102942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.