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COLLIN WILLARDSEN
NPI 1417751629
Case Manager/Care Coordinator in Provo, UT

Active since April 04, 2025
750 N FREEDOM BLVD, PROVO, UT 84601(801) 373-4760 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Collin Willardsen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLIN WILLARDSEN (NPI 1417751629) is an individual case manager/care coordinator provider in Provo, Utah and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1417751629
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameCOLLIN WILLARDSEN
Location Address750 N FREEDOM BLVDProvo, UT 84601-1677
Mailing Address750 N Freedom BlvdProvo, UT 84601-1677 · (801) 373-4760
Phone(801) 373-4760
Sole ProprietorNo
Enumeration DateApril 4, 2025
NPPES CertifiedApril 4, 2025
✔ NPI 1417751629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

750 N FREEDOM BLVD, Provo, UT 84601
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUZANNE MARIE CECIL STEPHENS LCSW
Social Worker (Clinical)
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
JOEL WALLACE HANSON MD
Psychiatry & Neurology (Psychiatry)
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
RANDOLPH DAY GLASSCOCK SSW
Social Worker
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
BONNIE ANGELL PARKIN SSW
Social Worker
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
THOMAS SCOTT PARKINSON RN
Registered Nurse (Psychiatric/Mental Health)
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
SHAWNA MARIE FISHER SSW
Social Worker
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
CRAIG ALLRED BLEAK CSW
Social Worker (Clinical)
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
ELIJAH KIMBALL NIELSON CSW
Social Worker
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Collin Willardsen's NPI number?

The NPI number for Collin Willardsen is 1417751629. It was assigned to this individual provider in the NPPES registry on April 4, 2025.

Where is Collin Willardsen located?

Collin Willardsen practices at 750 N Freedom Blvd, Provo, UT 84601. The listed phone number is (801) 373-4760.

What is Collin Willardsen's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Collin Willardsen was last updated on April 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.