NPIMap

Individual provider Active NPI

John David Collins, LCSW-C, C-ASWCM, MSW

  • Clinical Social Worker
  • Salisbury, MD
National Provider Identifier
1972699734
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11312 Issued in MD
Practice address
540 Riverside Dr
Suite 8
Salisbury, MD 21801-5352
Phone
(410) 548-3333
Fax
(410) 548-3341
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

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 11312 MD Primary

Addresses

Primary practice location

540 Riverside Dr
Suite 8
Salisbury, MD 21801-5352

Mailing address

540 Riverside Dr
Suite 8
Salisbury, MD 21801-5352
Phone (410) 548-3333

Other identifiers 1

IdentifierTypeStateIssuer
025292100MedicaidMD

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cove Recovery, LLC Past Accepting new patients
Cove Recovery, LLC Past Accepting new patients
J. David Collins & Associates Past Accepting new patients
Cove Recovery, LLC Past Accepting new patients
Marshy Hope Family Services, LLC Clinical PastSince Aug 20, 2002 Accepting new patients
Cove Recovery, LLC Past Accepting new patients
Cove Recovery, LLC Past Accepting new patients
Cove Recovery, LLC Past Accepting new patients
Cove Recovery, LLC Past Accepting new patients
Cove Recovery, LLC Past Accepting new patients

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283385600000",
    "number": "1972699734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 RIVERSIDE DR",
            "address_2": "SUITE 8",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015352",
            "telephone_number": "410-548-3333",
            "fax_number": "410-548-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 RIVERSIDE DR",
            "address_2": "SUITE 8",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015352",
            "telephone_number": "410-548-3333",
            "fax_number": "410-548-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LCSW-C, C-ASWCM, MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2010-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025292100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.