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General NPI Number Information
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NPI Number | 1164828851
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Entity Type | Organization
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Legal Business Name | RICHARD S. COLLIE LCSW PLLC
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Dates
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Enumeration Date | 11/07/2014
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 352 7TH AVE SUITE 1001
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City | NEW YORK
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State | NY
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Zip | 10001-5012
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Country | US
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Telephone | 917-232-7259
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Fax | 718-709-7471
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Provider Business Mailing Address
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Address Line | 716 OCEAN AVE #19
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City | BROOKLYN
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State | NY
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Zip | 11226-5383
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Country | US
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Telephone | 917-232-7259
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Fax | 718-709-7471
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MR. RICHARD S. COLLIE
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Credential | LCSW
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Telephone | 917-232-7259
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | R-080045-1
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License Number State | NY
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