Lisa A Collins, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

073778 Issued in NY

Practice address

305 Main St
Binghamton, NY 13905-2524

Phone

(607) 729-1295

Fax

(607) 777-9497

NPI assigned

Sep 20, 2006

Last updated

Apr 24, 2013By 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

• Lisa A Russell Former name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  Medicare reassignment
• Monroe Ddso Clinic Pittsford

  • Developmental Disabilities Clinic/Center
  • Pittsford, NY
  • NPI 1063546778
  NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1962509026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MAIN ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139052524",
            "telephone_number": "607-729-1295",
            "fax_number": "607-777-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MAIN ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139052524",
            "telephone_number": "607-729-1295",
            "fax_number": "607-777-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "RUSSELL",
            "middle_name": "A",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Teresa Ann Cole, RN
• Vicki M Coleman, PT
• Lucia Collar Yagas, MD
• Gasper Colletti, PHD
• Brandon Michael Collings, NP
• Sonya Marie Collins, RN
• Barbara Colwell, LCSW
• Comprehensive Spine Care and Orthopedic Surgery, PLLC
• David Alan Comstock, MD
• Karen Lynne Conn, RPH

• Clinical Social Worker in Binghamton, NY
• Providers in Binghamton, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.