Rise Kevalshar Collins, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW 33691 Issued in ID

Practice address

229 S 8TH St
St Maries, ID 83861-1813

Phone

(208) 245-2951

Fax

(208) 245-9303

NPI assigned

Nov 17, 2015

Last updated

Nov 17, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rise Cherylyn Collins Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1952775702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 S 8TH ST",
            "city": "ST MARIES",
            "state": "ID",
            "postal_code": "838611813",
            "telephone_number": "208-245-2951",
            "fax_number": "208-245-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 S 8TH ST",
            "city": "ST MARIES",
            "state": "ID",
            "postal_code": "838611813",
            "telephone_number": "208-245-2951",
            "fax_number": "208-245-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "RISE",
        "middle_name": "KEVALSHAR",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW 33691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RISE",
            "last_name": "COLLINS",
            "middle_name": "CHERYLYN",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Clinical Social Worker in St Maries, ID
• Providers in St Maries, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.