Individual provider Active NPI

Ian Gabriel Collins, MSW, LCSW

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1760843486
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C012646 Issued in NC
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240717000576 NC Practitioner - Clinical Social Worker 9638614415 Reassigns benefits to 1 organization

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
Nellie Health PLLCGroup PAC ID 1557806338, 2 clinicians

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

LicenseStateTypeSpecialty
C012646NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nellie Health PLLC Clinical CurrentSince Jan 3, 2024 Accepting new patients
Ian Collins Therapy, PLLC Clinical PastSince Jan 1, 2021 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.

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

Verify at the official NPI Registry.