Individual provider Active NPI

Nell CP Collins, LCSW

  • Clinical Social Worker
  • Palm Beach Gardens, FL
National Provider Identifier
1891974572
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW7250 Issued in FL
Practice address
4440 Pga Blvd
Suite 306
Palm Beach Gardens, FL 33410-6539
Phone
(561) 371-2200
Fax
(561) 630-8410
NPI assigned
Oct 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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 SW7250 FL Primary

Addresses

Primary practice location

4440 Pga Blvd
Suite 306
Palm Beach Gardens, FL 33410-6539

Mailing address

4440 Pga Blvd
Suite 306
Palm Beach Gardens, FL 33410-6539
Phone (561) 371-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1891974572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 PGA BLVD",
            "address_2": "SUITE 306",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106539",
            "telephone_number": "561-371-2200",
            "fax_number": "561-630-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 PGA BLVD",
            "address_2": "SUITE 306",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106539",
            "telephone_number": "561-371-2200",
            "fax_number": "561-630-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "NELL",
        "middle_name": "CP",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.