Healthcare Provider Details

I. General information

NPI: 1255889184
Provider Name (Legal Business Name): MEGAN COLLINS LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2016
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98 LOWER WESTFIELD RD
HOLYOKE MA
01040-9403
US

IV. Provider business mailing address

1350 MAIN ST STE 1500
SPRINGFIELD MA
01103-1667
US

V. Phone/Fax

Practice location:
  • Phone: 413-533-5201
  • Fax:
Mailing address:
  • Phone: 413-288-5882
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number122537
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: