Provider Demographics
NPI:1841809142
Name:COLLINS, RIGZIN PEMA (LMSW)
Entity type:Individual
Prefix:
First Name:RIGZIN
Middle Name:PEMA
Last Name:COLLINS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:RIGDZIN
Other - Middle Name:PEMA
Other - Last Name:COLLINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:7002 BLVD E APT 11S
Mailing Address - Street 2:
Mailing Address - City:GUTTENBERG
Mailing Address - State:NJ
Mailing Address - Zip Code:07093-4911
Mailing Address - Country:US
Mailing Address - Phone:845-505-8077
Mailing Address - Fax:
Practice Address - Street 1:7002 BLVD E APT 11S
Practice Address - Street 2:
Practice Address - City:GUTTENBERG
Practice Address - State:NJ
Practice Address - Zip Code:07093-4911
Practice Address - Country:US
Practice Address - Phone:845-505-8077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-23
Last Update Date:2020-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY108840104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker