MS. CRYSTAL DAWN COLLETTE (NPI# 1053860155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053860155 |
| Entity Type | Individual |
| Full Name | MS. CRYSTAL DAWN COLLETTE |
| Credential | LMSW |
| Practice Address |
19 Robinson Rd Clinton NY 13323-1418 |
| Mailing Address |
7247 Moose River Rd Port Leyden NY 13433-2204 |
| Practice Telephone | 3158536090 |
| Practice Fax Number | 3158533190 |
| Mailing Telephone | 3155692386 |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2016-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
070761-1 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114201159 | Crystal Amy Collette | Behavioral Analyst | 1354 8th St Sw, Roanoke, VA 24015-1812 | 2011-10-10 |
| Street Address |
19 ROBINSON RD |
| City | CLINTON |
| State | NY |
| Zip Code | 13323-1418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568607042 | Building Blocks Learning Center, LLC | Early Intervention Provider Agency | 19 Robinson Rd, Clinton, NY 13323-1418 | 2008-12-11 |
| 1619574373 | Liliya Silchuk | Speech-Language Pathologist | 19 Robinson Rd, Clinton, NY 13323-1418 | 2020-10-06 |
| 1588277446 | Tori Weaver | Student in an Organized Health Care Education/Training Program | 19 Robinson Rd, Clinton, NY 13323-1418 | 2020-08-28 |
| 1326674284 | Carol Mcqueary | Case Manager/Care Coordinator | 19 Robinson Rd, Clinton, NY 13323-1418 | 2020-03-22 |
| 1013555465 | Meghan Mary Mortensen | Occupational Therapist | 19 Robinson Rd, Clinton, NY 13323-1418 | 2019-12-17 |
| 1780226191 | Heather Anne Valyou | Case Manager/Care Coordinator | 19 Robinson Rd, Clinton, NY 13323-1418 | 2019-10-17 |
| 1881242014 | Sophia Laposta | Student in an Organized Health Care Education/Training Program | 19 Robinson Rd, Clinton, NY 13323-1418 | 2019-08-30 |
| 1780230391 | Melissa Margadona | Specialist | 19 Robinson Rd, Clinton, NY 13323-1418 | 2019-08-11 |
| 1295397149 | Susan Ann Duckett | Case Manager/Care Coordinator | 19 Robinson Rd, Clinton, NY 13323-1418 | 2019-07-01 |
| 1881257533 | Laurie Anne Ducharme | Case Manager/Care Coordinator | 19 Robinson Rd, Clinton, NY 13323-1418 | 2019-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629603881 | Dynamic Chiropractic and Physical Therapy Pllc | Clinic/Center | 7883 Seneca Turnpike, Clinton, Clinton, NY 13323 | 2020-03-09 |
| 1558736413 | John Alexander Nasrinpay | Physical Therapist | 7883 Seneca Turnpike, Clinton, NY 13323 | 2015-12-03 |
| 1518216043 | Lesley Vella | Speech-Language Pathologist | 2 East Park Row, Clinton, NY 13323 | 2012-08-30 |
| 1649329087 | Marsette A Vona Dmd PC | Dentist | 5 South Park Row, Clinton, NY 13323 | 2007-01-08 |
| 1366557084 | Donna R Kapes | Social Worker | 2 Williams St, Clinton, NY 13323 | 2006-08-21 |
| 1386697464 | Kristin M Dempsey | Nurse Practitioner | 110 Utica Road, Clinton, NY 13323 | 2006-05-18 |
| 1700417201 | Cornwell Ave Physical Therapy PC | Clinic/Center | 7883 Seneca Turnpike, Clinton, NY 13323 | 2020-02-03 |
| 1770705782 | Thomas Richard Carone | Chiropractor | 1 Kirkland Ave, Suite 101, Clinton, NY 13323 | 2007-05-02 |
| 1427195023 | Sharon P. Dicks | Nurse Practitioner | 198 College Hill Rd, Tb Rudd Health Center, Clinton, NY 13323 | 2007-01-31 |
| 1215009105 | Nancy Rayne | Registered Nurse | 7325 State Route 5, Clinton, NY 13323 | 2006-11-15 |
| Find all providers in zip 13323 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659985455 | Lisa C Frasca | Social Worker | 1802 State Route 31 Ste 233, Clinton, NJ 08809-2033 | 2020-08-31 |
| 1245855972 | Joshua D. Burgess Lcsw | Social Worker | 63 Norton Ave, Clinton, NY 13323-1321 | 2020-06-09 |
| 1588284210 | Kimberly Wheaton Middleton | Social Worker | 552 Springridge Rd Apt C5, Clinton, MS 39056-5631 | 2020-04-22 |
| 1073161204 | Guiding Light Counseling, LLC | Social Worker | 110 Cow Hill Rd, Clinton, CT 06413-1341 | 2019-08-30 |
| 1679130561 | Joseph Patrick Lamb | Social Worker | 2419 W 1850 N, Clinton, UT 84015-5709 | 2019-05-25 |
| 1538620828 | Rachel H Daniels | Social Worker | 1311 Reserve Dr, Clinton, MS 39056-5658 | 2019-03-28 |
| 1629535166 | Tarsha Harris Moore | Social Worker | 8102 Hunters Green Ct, Clinton, MD 20735-2989 | 2019-02-20 |
| 1174090120 | Shifting Your Gears, LLC | Social Worker | 1802 State Route 31, Clinton, NJ 08809-2033 | 2018-10-29 |
| 1285122432 | Jean M Baker | Social Worker | 3 Fountain St Ste 201, Clinton, NY 13323-1747 | 2018-04-24 |
| 1619490851 | Kristyn Wagner | Social Worker | 90 N 31st Street, Clinton, OK 73601 | 2017-07-19 |
| Find all providers in CLINTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.