Collin Smith

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L12815 Issued in OR

Practice address

1639 SE Ensign LN Ste B103
Warrenton, OR 97146-7308

Phone

(503) 338-4500

Fax

(503) 338-4501

NPI assigned

Jul 25, 2019

Last updated

Jan 15, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT, OR2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Columbia Lutheran CharitiesGroup PAC ID 5294643359, shared by 8 NPIs, 110 clinicians

Nehalem Bay Health Center and PharmacyGroup PAC ID 9830007558, 6 clinicians

Practice addresses (Care Compare)

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.

• Nehalem Bay Health Center and Pharmacy

  • Federally Qualified Health Center (FQHC)
  • Wheeler, OR
  • NPI 1568546570
  Medicare reassignment Care Compare group NPD
• Columbia Lutheran Charities

  dba Columbia Memorial Hospital

  • Critical Access Hospital
  • Astoria, OR
  • NPI 1134146939
  Medicare reassignment NPD
• Columbia Lutheran Charities

  dba Columbia Memorial Hospital

  • Surgery Physician
  • Astoria, OR
  • NPI 1821254129
  Medicare reassignment NPD
• Weber Human Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ogden, UT
  • NPI 1043243140
  Medicare reassignment NPD
• Columbia Lutheran Charities

  dba Columbia Memorial Hospital Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Astoria, OR
  • NPI 1093003667
  NPD
• Nehalem Bay Health Center and Pharmacy

  dba Nehalem Bay Pharmacy

  • Community/Retail Pharmacy
  • Wheeler, OR
  • NPI 1366750218
  NPD
• Weber Human Services

  dba Weber Human Services Med Clinic

  • Family Medicine Physician
  • Ogden, UT
  • NPI 1396355087
  NPD
• Columbia Lutheran Charities

  dba Lower Columbia Hospice

  • Community Based Hospice Care Agency
  • Astoria, OR
  • NPI 1023038858
  NPD (past)
• Columbia Lutheran Charities

  dba Columbia Memorial Hospital

  • Critical Access Hospital
  • Astoria, OR
  • NPI 1932814704
  NPD (past)
• Nehalem Bay Health Center and Pharmacy

  • Student Health Clinic/Center
  • Rockaway Beach, OR
  • NPI 1811569387
  NPD (past)

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1992359251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 EXCHANGE ST",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033329",
            "telephone_number": "503-325-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 SE ENSIGN LN STE B103",
            "city": "WARRENTON",
            "state": "OR",
            "postal_code": "971467308",
            "telephone_number": "503-338-4500",
            "fax_number": "503-338-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "COLLIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-25",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L12815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Schafer, LMHC, LPC, CADC III
• Kayla Schulz
• Alexandra Justine Scott
• Adam Shreve, RPH
• Brenna Jeanne Smith
• Kristopher Smith
• Naomi R Stephens, LPC
• Claude N Stevens
• Brianna Angelina Stone, FNP-C
• Colleen Marie Swanson, MN, FNP-BC

• Clinical Social Worker in Warrenton, OR
• Providers in Warrenton, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.