Individual provider Active NPI

Thelonika China Lee McCollum, LMSW

  • Clinical Social Worker
  • Las Cruces, NM
National Provider Identifier
1730546557
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWB-2024-0315 Issued in NM
Practice address
1320 S Solano Dr
Las Cruces, NM 88001-3758
Phone
(575) 522-4004
NPI assigned
Jan 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 65228 TX
Clinical Social Worker 1041C0700X SWB-2024-0315 NM Primary
Social Worker 104100000X M-09325 NM
Clinical Social Worker 1041C0700X LC23520 ME

Addresses

Primary practice location

1320 S Solano Dr
Las Cruces, NM 88001-3758

Mailing address

3724 Star Beach LN
El Paso, TX 79936-2169
Phone (575) 694-8623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250905000302 NM Practitioner - Clinical Social Worker 0941702328 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13640 Briarwick Dr
Suite 110
Austin, TX 78729-1706

385 Calle de Alegra
BLDG a
Las Cruces, NM 88005-3417

385 Calle de Alegra
BLDG a
Las Cruces, NM 88005-3423

744 Harbor Springs TRL
Virginia Beach, VA 23462-6953

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
65228TXMDProfessional Counselor
M-09325NMMDSocial Worker
LC23520MEMDClinical Social Worker
SWB-2024-0315NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Families & Youth, Inc CurrentSince Jun 23, 2025 Accepting new patients

Locations

1320 S Solano Dr
Las Cruces, NM 88001
Phone (575) 522-4004

999 W Amador Ave
Ste E
Las Cruces, NM 88005
Phone (575) 522-4004

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1730546557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3724 STAR BEACH LN",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799362169",
            "telephone_number": "575-694-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 S SOLANO DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013758",
            "telephone_number": "575-522-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLLUM",
        "first_name": "THELONIKA",
        "middle_name": "CHINA LEE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-25",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "65228",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2024-0315",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "M-09325",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC23520",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.