Individual provider Active NPI

Naeshaun D Collins, LMSW

  • Social Worker
  • Irondale, AL
National Provider Identifier
1992374425
Registry record updated Jun 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
5481G Issued in AL
Practice address
2959 Mary Taylor Rd
Irondale, AL 35210-4473
Phone
(205) 913-8195
NPI assigned
Jun 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 5481G AL Primary

Addresses

Primary practice location

2959 Mary Taylor Rd
Irondale, AL 35210-4473

Mailing address

2959 Mary Taylor Rd
Irondale, AL 35210-4473
Phone (205) 913-8195

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL CollinsStationllc@gmail.com

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5481GALMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Collins Station LLC CurrentSince Jun 27, 2021 Accepting new patients

Organizations & group practices 1

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": "1624060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624060800000",
    "number": "1992374425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2959 MARY TAYLOR RD",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "352104473",
            "telephone_number": "205-913-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2959 MARY TAYLOR RD",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "352104473",
            "telephone_number": "205-913-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "NAESHAUN",
        "middle_name": "D",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-19",
        "last_updated": "2021-06-19",
        "certification_date": "2021-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "AL",
            "license": "5481G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CollinsStationllc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "address_1": "3331 Bonds Ave",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352242727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Irondale, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2021; 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.