Ellen Mccollum is a Clinical in Westerly, Rhode Island. Ellen Mccollum practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ellen Mccollum is 1992737431. The last update date is 2008-03-05.
Ellen Mccollum's current location address is 36 Wicklow Road, Westerly, Rhode Island. You can contact this provider via phone number 4015960906 and fax number 4015960699. The mailing address for Ellen Mccollum is 36 Wicklow Road, Westerly, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellen Mccollum |
|---|---|
| Address | 36 Wicklow Road, Westerly, Rhode Island |
| Phone Number | 4015960906 |
| Fax Number | 4015960699 |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1992737431 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2008-03-05 |
Provider Mailing Address Detail
| Address | 36 Wicklow Road |
|---|---|
| City | Westerly |
| State | Rhode Island (RI) |
| Post Code | 2891 |
| Phone Number | 4015960906 |
| Fax Number | 4015960699 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | ISW01603 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| EM54423 | RI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Ellen Mccollum by the Centers for Medicare & Medicaid Services (CMS)?
The Ellen Mccollum has been assigned the NPI (National Provider Identifier) 1992737431. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Ellen Mccollum is physically located?
The Ellen Mccollum is physically situated at the following address: 36 Wicklow Road, Westerly, RI, 2891.
What is Ellen Mccollum's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Ellen Mccollum is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Ellen Mccollum receive its 1992737431 assignment from the Centers for Medicare & Medicaid Services?
The Ellen Mccollum was assigned its 1992737431 by the Centers for Medicare & Medicaid Services on 2006-07-07.
When was the information pertaining to Ellen Mccollum most recently updated or revised?
The details related to Ellen Mccollum, including its address, specialty, and other relevant information, were last updated or revised on 2008-03-05.