Provider Demographics
NPI:1891974572
Name:COLLINS, NELL CP (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:NELL
Middle Name:CP
Last Name:COLLINS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4440 PGA BLVD
Mailing Address - Street 2:SUITE 306
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-6539
Mailing Address - Country:US
Mailing Address - Phone:561-371-2200
Mailing Address - Fax:561-630-8410
Practice Address - Street 1:4440 PGA BLVD
Practice Address - Street 2:SUITE 306
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-6539
Practice Address - Country:US
Practice Address - Phone:561-371-2200
Practice Address - Fax:561-630-8410
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-30
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW72501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical