National Provider Identifier
Jefferson D Collins, LCSW
Jefferson D Collins, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 273-5464.
Profile Overview
- NPI
- 1831254580
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- December 23, 2006
- Last Updated
- July 08, 2007
Practice Location
- 312 1St St
- Ithaca, NY 14850-3410
Phone: (607) 273-5464
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1831254580
- Entity Type
- Individual
- Last Name
- Collins
- First Name
- Jefferson
- Middle Name
- D
- Credential
- LCSW
- Mailing Street Address
- 312 1St St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-3410
- Mailing Country
- US
- Mailing Phone
- (607) 273-5464
- Practice Street Address
- 312 1St St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-3410
- Practice Country
- US
- Practice Phone
- (607) 273-5464
- Enumeration Date
- December 23, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)