MR. ROBERT COLLETTE (NPI# 1154551422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154551422 |
| Entity Type | Individual |
| Full Name | MR. ROBERT COLLETTE |
| Credential | LCSW |
| Practice Address |
12302 Kennedy Dr Parker AZ 85344-7833 |
| Mailing Address |
2455 Camino Ln Lake Havasu City AZ 86403-5825 |
| Practice Telephone | 9286695243 |
| Mailing Telephone | 9284530222 |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2009-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 12469 | AZ | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
125 | CO | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2002030046 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659332732 | Robert Patrick Collette | Otolaryngology | 763 Harley Strickland Blvd, Orange City, FL 32763-7962 | 2006-03-29 |
| 1174828636 | Robert J Collette | Physical Therapist | 2 Broad Street Plz, Glens Falls, NY 12801-4363 | 2011-01-14 |
| Street Address |
12302 KENNEDY DR |
| City | PARKER |
| State | AZ |
| Zip Code | 85344-7833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689019036 | Stephanie M. Lopez | Counselor | 12302 Kennedy Dr, Parker, AZ 85344-9734 | 2013-04-29 |
| 1528318227 | Colorado River Indian Tribes - Dept. of Health & Social Services | Non-emergency Medical Transport (VAN) | 12302 Kennedy Dr, Parker, AZ 85344-9734 | 2012-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689156366 | Kimberly Lynnette Kirkpatrick | Pharmacist | 12033 W Agency Ave, Parker, AZ 85344 | 2018-08-30 |
| 1811419534 | Cheryl Brooks | Registered Nurse | 12033 W. Agency Ave, Parker, AZ 85344 | 2017-07-14 |
| 1356877716 | Damian Jenkins | Specialist/Technologist, Other | 1200 S Mohave Ave, Parker, AZ 85344 | 2017-05-04 |
| 1821434184 | Rio Vista Surgical Associates P.C. | Surgery | 1200 Mohave Dr, Parker, AZ 85344 | 2013-05-14 |
| 1881039600 | Juan G Lopez | Counselor | 13376 1st Ave, Parker, AZ 85344 | 2013-05-07 |
| 1942581699 | Rocky Mountain Holdings LLC | Ambulance | 913 S Ocotillo Ave, Parker, AZ 85344 | 2011-09-07 |
| 1467732271 | Adam Caton | Podiatrist | 1713 S Kofa Ave Ste K, Parker, AZ 85344 | 2011-08-24 |
| 1902137516 | Shana Lee Tackett | Student in an Organized Health Care Education/Training Program | 12330 Agency Rd, Parker Indian Health Center, Parker, AZ 85344 | 2010-01-21 |
| 1649501339 | Alice Rodriguez | Student in an Organized Health Care Education/Training Program | 12330 Agency Rd., Parker, AZ 85344 | 2010-01-20 |
| 1821328931 | Armando Sosa Jr. | Student in an Organized Health Care Education/Training Program | 12330 Agency Road, Parker, AZ 85344 | 2010-01-12 |
| Find all providers in zip 85344 | ||||
| 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 |
|---|---|---|---|---|
| 1811516156 | Stephanie Clark | Social Worker | 10185 Isle St, Parker, CO 80134-5788 | 2020-04-15 |
| 1255972329 | Andrew Mckinney | Social Worker | 5583 Thunder Hill Rd, Parker, CO 80134-5836 | 2019-09-30 |
| 1235691254 | Roxanne Cafaro | Social Worker | 17581 Pine Ln Apt 4412, Parker, CO 80134-6547 | 2019-04-01 |
| 1366925349 | Deborah Kolker Mastin | Social Worker | 19753 E. Pikes Peak Ave, Parker, CO 80138 | 2018-09-14 |
| 1295213171 | Ivy Psychotherapies LLC | Social Worker | 12900 Stroh Ranch Pl Unit 125, Parker, CO 80134-3490 | 2018-08-01 |
| 1891282166 | Courtney Burleigh | Social Worker | 15033 Vienna Cir, Parker, CO 80134-5888 | 2018-04-22 |
| 1073022992 | Pamela Olmsted | Social Worker | 7712 Windwood Way, Parker, CO 80134-6343 | 2017-09-22 |
| 1821472036 | Kelli Korn Counseling, LLC | Social Worker | 10495 S Progress Way, Suite 206, Parker, CO 80134-4032 | 2015-07-17 |
| 1982098174 | Janna Summerlin | Social Worker | 9573 Pearl Cir Unit 106, Parker, CO 80134-4217 | 2015-03-25 |
| 1548650799 | Robyn Looze | Social Worker | 19563 East Mainstreet Suite, 204, Parker, CO 80138 | 2015-01-27 |
| Find all providers in PARKER | ||||
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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.