Organization Active NPI

Bryan Benjamin Collins III

  • Clinical Social Worker
  • Casper, WY
National Provider Identifier
1861815581
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PCSW-524 Issued in WY
Legal business name
BRYAN BENJAMIN COLLINS III
Practice address
907 N Poplar St Ste 183
Casper, WY 82601-1304
Phone
(307) 472-9890
Fax
(307) 472-9891
NPI assigned
Jan 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Authorized official

Name
Bryan B Collins III, MSWNPI 1164774543
Title
Clinical Therapist
Phone
(307) 472-9890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X PCSW-524 WY Primary

Addresses

Primary practice location

907 N Poplar St Ste 183
Casper, WY 82601-1304

Mailing address

907 N Poplar St Ste 183
Casper, WY 82601-1304
Phone (307) 472-9890

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1861815581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 N POPLAR ST STE 183",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011304",
            "telephone_number": "307-472-9890",
            "fax_number": "307-472-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 N POPLAR ST STE 183",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011304",
            "telephone_number": "307-472-9890",
            "fax_number": "307-472-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN BENJAMIN COLLINS III",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-31",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "307-472-9890",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "PCSW-524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.