Shardae Collins, LICSW is a
Social Worker based in University Place, Washington. Shardae Collins is licensed to practice in Washington (license number LW61119779) and her current practice location is
7610 40th St W Ste 300, University Place, Washington. She can be reached at her office (for appointments etc.) via phone at
(253) 830-6242.
NPI number for Shardae Collins is 1538614953 and her current mailing address is 2311 58th Ave E Apt E12, Fife, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538614953.
Healthcare Provider's Profile
| Full Name | Shardae Collins |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 7610 40th St W Ste 300, University Place, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1538614953
- Provider Enumeration Date: 08/16/2016
- Last Update Date: 05/25/2021
Medical Identifiers
Medical identifiers for Shardae Collins such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538614953 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 78863 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | LW61119779 (Washington) | 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. Shardae 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 |
|---|
Shardae Collins, LICSW
2311 58th Ave E Apt E12,
Fife, WA 98424-1957
Ph: (323) 404-4281 | Shardae Collins, LICSW
7610 40th St W Ste 300,
University Place, WA 98466-3834
Ph: (253) 830-6242 |
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