Ellen McCollum, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW01603 Issued in RI

Practice address

97 Cross Street
Westerly, RI 02891

Phone

(401) 596-0906

Fax

(401) 596-0699

NPI assigned

Jul 7, 2006

Last updated

Mar 5, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Cornerstone Counseling

  • Clinical Social Worker
  • Westerly, RI
  • NPI 1467545749
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1992737431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 WICKLOW ROAD",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "02891",
            "telephone_number": "401-596-0906",
            "fax_number": "401-596-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 CROSS STREET",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "02891",
            "telephone_number": "401-596-0906",
            "fax_number": "401-596-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLLUM",
        "first_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EM54423",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antonio John Mattero, D.D.S.
• Jared Robert Matteson, CRNA
• Maxi Drug South LP (Rite Aid Pharmacy 10243)
• Lise B. Mayers, LICSW
• Lauri Maynard, LMHC
• Rachel McCormick, MD
• Abby McFerran, CRNP
• Ella McKearin
• Melissa McPherson, RN
• McQuade's Marketplace Pharmacy

• Clinical Social Worker in Westerly, RI
• Providers in Westerly, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.