Individual provider Active NPI

Stephanie Kay Collier, LICSW

  • Clinical Social Worker
  • Beckley, WV
National Provider Identifier
1841503299
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
101 S Eisenhower Dr
Beckley, WV 25801-4929
Phone
(304) 256-7146
Fax
(304) 256-7147
NPI assigned
Jul 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

101 S Eisenhower Dr
Beckley, WV 25801-4929

Mailing address

210 Manor St
Marion, AR 72364-1936
Phone (870) 739-6818

Other practice location 1

205 Ingram Blvd
West Memphis, AR 72301-3423
Phone (870) 755-2737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20240304001025 AR Practitioner - Clinical Social Worker 1355786161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Changes Behavioral Health, LLCGroup PAC ID 6103149653, 8 clinicians

Practice addresses (Care Compare)

204 Mississippi St S
Wynne, AR 72396-3025
Phone (870) 208-8499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Changes Behavioral Health, LLC CurrentSince Feb 16, 2024 Accepting new patients

Locations

204 Mississippi St S
Wynne, AR 72396
Phone (870) 208-8499

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1841503299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MANOR ST",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723641936",
            "telephone_number": "870-739-6818",
            "fax_number": "870-739-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S EISENHOWER DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258014929",
            "telephone_number": "304-256-7146",
            "fax_number": "304-256-7147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Ingram Blvd",
            "address_purpose": "LOCATION",
            "city": "West Memphis",
            "state": "AR",
            "postal_code": "723013423",
            "country_code": "US",
            "telephone_number": "870-755-2737",
            "fax_number": "870-755-2740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "STEPHANIE",
        "middle_name": "KAY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.