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KERRIE COLLAZO
NPI 1780228106
Social Worker in Garden City, NY

Active since October 29, 2019PECOS Enrolled
191 DORCHESTER RD, GARDEN CITY, NY 11530(516) 850-2795 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2024, Oct 29, 2019 (2 updates tracked since 2019).

About Kerrie Collazo NPPES

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

KERRIE COLLAZO (NPI 1780228106) is an individual social worker in Garden City, New York, licensed in New York (107633) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2019).

NPPES Registry Identity

NPI1780228106
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKERRIE COLLAZO
Location Address191 DORCHESTER RDGarden City, NY 11530-5610
Mailing Address191 Dorchester RdGarden City, NY 11530-5610 · (516) 850-2795
Phone(516) 850-2795
Sole ProprietorYes
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2019
Enumeration DateOctober 29, 2019
Last NPPES UpdateAugust 5, 20242 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
✔ NPI 1780228106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NY · 107633
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
191 DORCHESTER RD, Garden City, NY 11530
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kerrie Collazo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214479633
PECOS Enrollment IDI20240612003386
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

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

POSITIVE PATHWAY LCSW PSYCHOTHERAPY PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
191 DORCHESTER RD
GARDEN CITY, NY 11530
Nassau County (516) 850-2795
MISS MELANIE ROSE PFENNIG
Social Worker
191 DORCHESTER RD
GARDEN CITY, NY 11530
Nassau County (516) 271-4189

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 Kerrie Collazo's NPI number?

The NPI number for Kerrie Collazo is 1780228106. It was assigned to this individual provider in the NPPES registry on October 29, 2019.

Where is Kerrie Collazo located?

Kerrie Collazo practices at 191 Dorchester Rd, Garden City, NY 11530. The listed phone number is (516) 850-2795.

What is Kerrie Collazo's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Kerrie Collazo enrolled in Medicare?

Yes. Kerrie Collazo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kerrie Collazo was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.