Pamela Ellen Vancollins, MSW, LMSW, LPN, QMHP

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

7338 S Dante Ave
Chicago, IL 60619-2117

Phone

(773) 983-6066

NPI assigned

May 20, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Pamela Van Collins Brown Pierce Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1750029757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7338 S DANTE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606192117",
            "telephone_number": "773-983-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7338 S DANTE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606192117",
            "telephone_number": "773-983-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCOLLINS",
        "first_name": "PAMELA",
        "middle_name": "ELLEN",
        "credential": "MSW, LMSW, LPN, QMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IL",
            "license": "43053264",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA VAN COLLINS",
            "last_name": "PIERCE",
            "middle_name": "BROWN",
            "credential": "MSW, LMSW, QMHP, LPN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kayleigh Vance, MD
• Morgan Vance, LCSW
• Nathan Gregory David Vance
• Vancol Family Health Center SC
• Carl Vancol, MD
• Vandana Badlani MD S.C.
• Mercedez Vandecasteele, DNP
• Anna Vandecaveye, APRN, CNP
• Lori Vandellen, OTR/L
• Delaney Vandemore

• Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.