Active NPI
Kerry A Workman Collins, CSW
- Clinical Social Worker
- Cheyenne, WY
National Provider Identifier
1760711337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-1275
- Practice address
- 1103 Old Town.Lane
Brain Advancement Center Suite 100
Cheyenne, WY 82009 - Phone
- (307) 287-2971
- Fax
- (307) 426-4865
- NPI assigned
- Dec 10, 2009
- Sex
- Female
- Sole proprietor
- No
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 | LCSW-1275 | WY | Primary |
Addresses
Primary practice location
1103 Old Town.Lane
Brain Advancement Center Suite 100
Cheyenne, WY 82009
Mailing address
1103 Old Town LN
Cheyenne, WY 82009-4353
Phone (307) 778-7832
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-1275 | WY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kerry Collins, LCSW | Current | Accepting new patients | |
| Attention Homes, Inc. | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Cheyenne, WY
- NPI 1063233682
-
- Psychiatry Physician
- Cheyenne, WY
- NPI 1619097755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642982400000",
"number": "1760711337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 OLD TOWN LN",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820094353",
"telephone_number": "307-778-7832",
"fax_number": "307-778-2576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 OLD TOWN.LANE",
"address_2": "BRAIN ADVANCEMENT CENTER SUITE 100",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "82009",
"telephone_number": "307-287-2971",
"fax_number": "307-426-4865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORKMAN COLLINS",
"first_name": "KERRY",
"middle_name": "A",
"credential": "CSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-10",
"last_updated": "2022-01-24",
"certification_date": "2022-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WY",
"license": "LCSW-1275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.