Active NPI
Beth A Collins, LCSW
- Clinical Social Worker
- Lewiston, ME
National Provider Identifier
1720180904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC4810
- Practice address
- 331 Pine St
Lewiston, ME 04240-6308 - Phone
- (207) 592-9981
- Fax
- (207) 344-6177
- NPI assigned
- Sep 1, 2006
- 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 | LC4810 | ME | Primary |
Addresses
Primary practice location
331 Pine St
Lewiston, ME 04240-6308
Mailing address
331 Pine St
Lewiston, ME 04240-6308
Phone (207) 592-9981
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC4810 | ME | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410220800000",
"number": "1720180904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 PINE ST",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042406308",
"telephone_number": "207-592-9981",
"fax_number": "207-344-6177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 PINE ST",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042406308",
"telephone_number": "207-592-9981",
"fax_number": "207-344-6177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "BETH",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2014-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC4810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.