Active NPI
Shelia Renee Collins, LLMSW
- Clinical Social Worker
- Mount Clemens, MI
National Provider Identifier
1992959357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801090207
- Practice address
- 2 Crocker Blvd
Suite 101
Mount Clemens, MI 48043-2528 - Phone
- (586) 468-2266
- Fax
- (586) 468-4505
- NPI assigned
- Nov 12, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801090207 | MI | Primary |
Addresses
Primary practice location
2 Crocker Blvd
Suite 101
Mount Clemens, MI 48043-2528
Mailing address
2 Crocker Blvd
Suite 101
Mount Clemens, MI 48043-2528
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801090207 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Youth Services Inc | Past | 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.
-
- Community/Behavioral Health Agency
- Mount Clemens, MI
- NPI 1750400065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248739200000",
"number": "1992959357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 CROCKER BLVD",
"address_2": "SUITE 101",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "480432528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CROCKER BLVD",
"address_2": "SUITE 101",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "480432528",
"telephone_number": "586-468-2266",
"fax_number": "586-468-4505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "SHELIA",
"middle_name": "RENEE",
"name_prefix": "Ms.",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-12",
"last_updated": "2009-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801090207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Clemens, MI
- Clinical Healing Center LLC
- Clinton Counseling Center
- Alissa Marie Clyne, FNP-BC
- Lauren Therese Cody, RD, IBCLC
- James Arthur Coleman
- Wallace Spurgeon Colvin III, D.D.S.
- Comfort Prosthetics & Orthotics Inc
- Community Cancer Care Specialists
- Community Cancer Care Specialists
- Comprehensive Youth Services Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.