Provider Demographics
NPI:1255768222
Name:COLLIER, JOHN S (MSW, LCSW)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:S
Last Name:COLLIER
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1954
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40743-1954
Mailing Address - Country:US
Mailing Address - Phone:606-657-0532
Mailing Address - Fax:606-657-0535
Practice Address - Street 1:202 W 7TH ST STE 115
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741-1763
Practice Address - Country:US
Practice Address - Phone:606-657-0532
Practice Address - Fax:606-657-0535
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-04
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY34551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical