Active NPI
Ian Gabriel Collins, MSW, LCSW
- Clinical Social Worker
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C012646
- Practice address
- 8045 Arco Corporate Dr Ste 120
Raleigh, NC 27617-2026 - Phone
- (919) 372-3690
- NPI assigned
- Mar 8, 2016
- Last updated
- Mar 25, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C012646 | NC | Primary |
| Clinical Social Worker | 1041C0700X | 088671 | NY |
Addresses
Primary practice location
8045 Arco Corporate Dr Ste 120
Raleigh, NC 27617-2026
Mailing address
104 Stourbridge Cir
Cary, NC 27511-4852
Phone (336) 404-2215
Other practice location 1
104 Stourbridge Cir
Cary, NC 27511-4852
Phone (336) 404-2215
Other practice location 2
207 N West St
Cary, NC 27513-4549
Phone (646) 868-8100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8045 Arco Corporate Dr
Suite 120
Raleigh, NC 27617-2026
Phone (919) 372-3690
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C012646 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nellie Health PLLC | Clinical | Current | Accepting new patients |
| Ian Collins Therapy, PLLC | Clinical | Past | Accepting new patients |
| New Pathways Counseling Center | Social Worker | Past | Accepting new patients |
Locations
8045 Arco Corporate Dr
Ste 120
Raleigh, NC 27617
Phone (919) 346-7600
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.
-
- Clinical Social Worker
- Raleigh, NC
- NPI 1538077201
-
- Social Worker
- Brooklyn, NY
- NPI 1689708141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742860800000",
"number": "1760843486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 STOURBRIDGE CIR",
"city": "CARY",
"state": "NC",
"postal_code": "275114852",
"telephone_number": "336-404-2215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8045 ARCO CORPORATE DR STE 120",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276172026",
"telephone_number": "919-372-3690"
}
],
"practiceLocations": [
{
"address_1": "104 Stourbridge Cir",
"address_purpose": "LOCATION",
"city": "Cary",
"state": "NC",
"postal_code": "275114852",
"country_code": "US",
"telephone_number": "336-404-2215",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "207 N West St",
"address_purpose": "LOCATION",
"city": "Cary",
"state": "NC",
"postal_code": "275134549",
"country_code": "US",
"telephone_number": "646-868-8100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLLINS",
"first_name": "IAN",
"middle_name": "GABRIEL",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-08",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C012646",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "088671",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.