COLLEEN LOUISE REILLY (NPI# 1710455472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710455472 |
| Entity Type | Individual |
| Full Name | COLLEEN LOUISE REILLY |
| Credential | MSW, LCSW, LCASA |
| Practice Address |
3505 N Roxboro St Durham NC 27704-2767 |
| Mailing Address |
1502 W Nc Highway 54 Ste 103 Durham NC 27707-5572 |
| Practice Telephone | 9192204224 |
| Mailing Telephone | 9193540840 |
| Mailing Fax Number | 9197484441 |
| Enumeration Date | 2018-11-10 |
| Last Update Date | 2018-11-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCAS-22966 | NC | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C011863 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3505 N Roxboro St, Durham, NC 277042767 | 9192204224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093252785 | Colleen Mary Reilly | Pharmacist | 8524 W 109th Ter, Overland Park, KS 66210-1654 | 2017-01-19 |
| 1831629807 | Colleen Reilly | Counselor | 442 S 2nd St, Hamilton, OH 45011-2936 | 2017-06-13 |
| 1003216615 | Colleen Patricia Reilly | Occupational Therapy Assistant | 191 Washington St, Newburgh, NY 12550-5540 | 2014-09-02 |
| 1467507996 | Colleen Reilly | Physical Therapist | 300 Longwood Ave, Farley 6 Fa 123, Boston, MA 02115-5724 | 2007-01-24 |
| 1356431050 | Colleen K Reilly | Nurse Practitioner | 4 Plaza Dr, Suite 402, Sewell, NJ 08080-2747 | 2006-10-13 |
| Street Address |
3505 N ROXBORO ST |
| City | DURHAM |
| State | NC |
| Zip Code | 27704-2767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477507259 | Telecare Mental Health Serives of North Carolina, Inc | Community/Behavioral Health | 3505 N Roxboro St, Durham, NC 27704-2767 | 2006-05-19 |
| 1902360035 | Aishah J Hardy | Licensed Practical Nurse | 3505 N Roxboro St, Durham, NC 27704-2767 | 2019-01-23 |
| 1750850053 | Keisha Delores Cheatham | Registered Nurse | 3505 N Roxboro St, Durham, NC 27704-2767 | 2018-11-15 |
| 1720557036 | Dennis Watson-oxendine | Registered Nurse | 3505 N Roxboro St, Durham, NC 27704-2767 | 2018-11-15 |
| 1245561745 | General Medical Practice and Urgent Care, Pa | Clinic/Center | 3505 N Roxboro St, Suite C, Durham, NC 27704-2767 | 2010-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723139 | Devang Ashokbhai Patel | Dentist | 2609 N Duke St Ste 618, Durham, NC 27704 | 2018-06-14 |
| 1891201042 | Little Family Care Home, LLC | Custodial Care Facility | 1012 Davinci Street, Durham, NC 27704 | 2017-12-26 |
| 1033625702 | Tondra A Little | Social Worker | 2804 Nellowood Street, Durham, NC 27704 | 2017-12-18 |
| 1437502408 | Jhazmere Shamas Preston | Counselor | 2609 N. Duke St. Suite 403, Durham, NC 27704 | 2016-07-14 |
| 1649626656 | Professional Elevations Pllc | Case Manager/Care Coordinator | 304 Crutchfield Drive, Durham, NC 27704 | 2016-05-09 |
| 1083071617 | Alyssa Wilson | Speech-Language Pathologist | 215 William Penn Plz Apt 908, Durham, NC 27704 | 2016-01-27 |
| 1932565124 | Arthur Reynolds Jr and Associates P.l.l.c. | Dentist | 2106 N Duke St, Durham, NC 27704 | 2016-01-05 |
| 1962877720 | Chimere Brooks | Contractor | 4001meriwether Drive Apt P-19, Durham, NC 27704 | 2015-12-04 |
| 1184013294 | Danielle King | Physician Assistant | 3611 N Duke Street, Durham, NC 27704 | 2015-01-13 |
| 1730581901 | Images, 'of Me To You' | Community/Behavioral Health | 2823 Cascadilla Street, Durham, NC 27704 | 2014-09-19 |
| Find all providers in zip 27704 | ||||
| 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 |
|---|---|---|---|---|
| 1770184657 | Delia Hearon | Social Worker | 100 Village Circle Way Apt 216, Durham, NC 27713-6131 | 2020-11-05 |
| 1750980256 | Victoria Snow | Social Worker | 504 E Pettigrew St Apt 449, Durham, NC 27701-3888 | 2020-10-26 |
| 1053910984 | Tedra Cook | Social Worker | 313 Chestnut Oak Pl, Durham, NC 27704-5196 | 2020-10-21 |
| 1821695644 | Adam Tannenbaum | Social Worker | 1821 Hillandale Rd Ste 1b-154, Durham, NC 27705-2659 | 2020-10-05 |
| 1831706373 | Elena Plocek | Social Worker | 2617 Farthing St, Durham, NC 27704-4203 | 2020-09-29 |
| 1225643323 | Aisha S Lewis | Social Worker | 79 Willow Bridge Dr, Durham, NC 27707-5457 | 2020-09-15 |
| 1639781354 | Inner Knowing Clinical Therapy LLC | Social Worker | 117 Brown Rd, Durham, ME 04222-5213 | 2020-08-24 |
| 1730791765 | Katrina P Martin | Social Worker | 2511 N Roxboro St, Durham, NC 27704-4347 | 2020-08-20 |
| 1194337758 | Ashley Esry | Social Worker | 1728 Euclid Rd, Durham, NC 27713-2415 | 2020-08-17 |
| 1265050124 | Amber Cox | Social Worker | 3622 Lyckan Pkwy Ste 5007, Durham, NC 27707-2539 | 2020-07-08 |
| Find all providers in DURHAM | ||||
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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.