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MRS. PHYLLIS FERGUSON COLLUM LCSW
NPI 1902202054
Social Worker - Clinical in Dolton, IL

Active since November 17, 2014PECOS Enrolled
15539 DOBSON AVE, DOLTON, IL 60419(312) 810-5203(773) 654-3875 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Phyllis Ferguson Collum Lcsw NPPES

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

MRS. PHYLLIS FERGUSON COLLUM LCSW (NPI 1902202054) is an individual clinical provider in Dolton, Illinois, licensed in Illinois (149015907) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Orland Park, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1902202054
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. PHYLLIS FERGUSON COLLUMCredential: LCSW
Location Address15539 DOBSON AVEDolton, IL 60419-2708
Mailing Address15539 Dobson AveDolton, IL 60419-2708 · (312) 810-5203 · Fax (773) 654-3875
Phone(312) 810-5203
Fax(773) 654-3875
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateNovember 17, 2014
Last NPPES UpdateApril 4, 2024
NPPES CertifiedApril 4, 2024
✔ NPI 1902202054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149015907
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 149015907 (IL)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 149015907 (IL)
15539 DOBSON AVE, Dolton, IL 60419
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Secondary Practice Location 1

Location 19550 W 167th St Ste 100Orland Park, IL 60467-5561 · Phone (708) 478-3960

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Phyllis Ferguson Collum Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981960549
PECOS Enrollment IDI20171114003600
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60419 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

EPIPHANY LIFE COACH COUNSELING & RESOURCES, LLC
Community/Behavioral Health
15539 DOBSON AVE
DOLTON, IL 60419
Cook County (773) 654-3875

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 Phyllis Ferguson Collum's NPI number?

The NPI number for Phyllis Ferguson Collum is 1902202054. It was assigned to this individual provider in the NPPES registry on November 17, 2014.

Where is Phyllis Ferguson Collum located?

Phyllis Ferguson Collum practices at 15539 Dobson Ave, Dolton, IL 60419. The listed phone number is (312) 810-5203.

What is Phyllis Ferguson Collum's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Phyllis Ferguson Collum enrolled in Medicare?

Yes. Phyllis Ferguson Collum is registered in the Medicare PECOS enrollment system.

What insurance does Phyllis Ferguson Collum accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Phyllis Ferguson Collum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Phyllis Ferguson Collum was last updated on April 4, 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.