Mr Pascal Shay Collins, LCSW is a
Social Worker - Clinical based in Pueblo, Colorado. Mr Pascal Shay Collins is licensed to practice in Colorado (license number CSW.09926224) and his current practice location is
3470 Baltimore Ave, Pueblo, Colorado. He can be reached at his office (for appointments etc.) via phone at
(719) 545-1181.
NPI number for Mr Pascal Shay Collins is 1790220937 and his current mailing address is 3470 Baltimore Ave, Pueblo, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790220937.
Healthcare Provider's Profile
| Full Name | Mr Pascal Shay Collins |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
|---|
| Location | 3470 Baltimore Ave, Pueblo, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1790220937
- Provider Enumeration Date: 12/26/2016
- Last Update Date: 12/09/2021
Medical Identifiers
Medical identifiers for Mr Pascal Shay Collins such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790220937 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ACD.0001328 (Colorado) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW.09926224 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Pascal Shay Collins is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Pascal Shay Collins, LCSW
3470 Baltimore Ave,
Pueblo, CO 81008-1520
Ph: (719) 545-1181 | Mr Pascal Shay Collins, LCSW
3470 Baltimore Ave,
Pueblo, CO 81008-1520
Ph: (719) 545-1181 |
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