Provider Demographics
NPI:1609050210
Name:COLLINS, BRETT (MSW)
Entity Type:Individual
Prefix:MS
First Name:BRETT
Middle Name:
Last Name:COLLINS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MRS
Other - First Name:BRETT
Other - Middle Name:
Other - Last Name:DE BERGERAC
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:150 EXECUTIVE PARK BLVD
Mailing Address - Street 2:SUITE 4000
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94134-3303
Mailing Address - Country:US
Mailing Address - Phone:510-414-7011
Mailing Address - Fax:
Practice Address - Street 1:150 EXECUTIVE PARK BLVD
Practice Address - Street 2:SUITE 4000
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94134-3303
Practice Address - Country:US
Practice Address - Phone:510-414-7011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-19
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical