Healthcare Provider Details

I. General information

NPI: 1730917287
Provider Name (Legal Business Name): DONALD JOE COLLIER LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2024
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

419 N PINE ST
LANCASTER PA
17603-3311
US

IV. Provider business mailing address

419 N PINE ST
LANCASTER PA
17603-3311
US

V. Phone/Fax

Practice location:
  • Phone: 512-775-5970
  • Fax:
Mailing address:
  • Phone: 512-775-5970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number105272
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW026062
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: