Individual provider Active NPI

Claire Elizabeth Collins, LCSW-BACS

  • Clinical Social Worker
  • Lafayette, LA
National Provider Identifier
1861041873
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14044 Issued in LA
Practice address
221 Rue de Jean Ste 112
Lafayette, LA 70508-8502
Phone
(337) 607-1684
Fax
(337) 201-9602
NPI assigned
Sep 11, 2019
Last updated
Dec 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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 14044 LA Primary

Addresses

Primary practice location

221 Rue de Jean Ste 112
Lafayette, LA 70508-8502

Mailing address

455 Feu Follet Rd # 80485
Lafayette, LA 70508-4223
Phone (337) 577-3295

Other practice location 1

121 S Audubon Blvd
Lafayette, LA 70503-2527
Phone (337) 577-3295

Other practice location 2

3423 NW Evangeline Thruway
Carencro, LA 70520-6241
Phone (337) 607-1684

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

LicenseStateTypeSpecialty
14044LAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1861041873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 FEU FOLLET RD # 80485",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705084223",
            "telephone_number": "337-577-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 RUE DE JEAN STE 112",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088502",
            "telephone_number": "337-607-1684",
            "fax_number": "337-201-9602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 S Audubon Blvd",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705032527",
            "country_code": "US",
            "telephone_number": "337-577-3295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3423 NW Evangeline Thruway",
            "address_purpose": "LOCATION",
            "city": "Carencro",
            "state": "LA",
            "postal_code": "705206241",
            "country_code": "US",
            "telephone_number": "337-607-1684",
            "fax_number": "337-201-9602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "CLAIRE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LCSW-BACS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "14044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.