Active NPI
Angela Collins, LCSW
- Clinical Social Worker
- Ennis, TX
National Provider Identifier
1740989953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 103566
- Practice address
- 107 E Martin Luther King Dr
Ennis, TX 75119-2501 - Phone
- (214) 664-5391
- NPI assigned
- Feb 27, 2023
- Last updated
- Feb 12, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 103566 | TX | |
| Clinical Social Worker | 1041C0700X | 103566 | TX | Primary |
Addresses
Primary practice location
107 E Martin Luther King Dr
Ennis, TX 75119-2501
Mailing address
1410 Munn Dr
Ennis, TX 75119-2224
Phone (214) 672-3393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103566 | TX | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Single Specialty | Current | Accepting new patients |
| Ellis County Coalition for Health Options | Past | Accepting new patients | |
| Ellis County Coalition for Health Options | Single Specialty | Past | Accepting new patients |
Locations
600 Congress Ave
Austin, TX 78701
Phone (281) 330-3059
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rula Health
- Mental Health Counselor
- Durham, NC
- NPI 1801472634
Single Specialty, TX
-
dba Hope Clinic
- Federally Qualified Health Center (FQHC)
- Ennis, TX
- NPI 1073970141
-
dba Hope Clinic
- Federally Qualified Health Center (FQHC)
- Waxahachie, TX
- NPI 1326236464
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1740989953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1410 MUNN DR",
"city": "ENNIS",
"state": "TX",
"postal_code": "751192224",
"telephone_number": "214-672-3393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 E MARTIN LUTHER KING DR",
"city": "ENNIS",
"state": "TX",
"postal_code": "751192501",
"telephone_number": "214-664-5391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "ANGELA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-27",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "103566",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "103566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ennis, TX
- Elizabeth Clark, RN
- Claystone Healthcare Center
- Azaria Cole
- Italia Coleman, PHARM D
- Collins Services & Management LLC
- Dana Renee Collins, LPC
- Matthew Garrett Cooper, CRNA
- Corsicana Homecare LLC Dba Visiting Angels
- Coryell County Memorial Hospital Authority (Bluebonnet Rehab at Ennis)
- Craig Yetter, DO, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.