Active NPI
Stephanie Kay Collier, LICSW
- Clinical Social Worker
- Beckley, WV
National Provider Identifier
1841503299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
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 | 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Changes Behavioral Health, LLC | Current | 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.
-
- Community/Behavioral Health Agency
- Wynne, AR
- NPI 1114260486
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.