MEDICARE: TOREY NICOLE COLLINS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker
2	101YM0800X	Mental Health Counselor
3	1041C0700X	Clinical Social Worker	119198	CA

General Provider Information

NPI Number	:	1104406297
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TOREY NICOLE COLLINS

Provider Business Mailing Address
First Line	:	6690 AMADOR PLAZA RD STE 250
Second Line	:
City	:	DUBLIN
State	:	CA
Zip	:	94568-2938
Country	:	US
Telephone Number	:	925-290-7454
Fax Number	:

Provider Business Practice Location Address
First Line	:	6690 AMADOR PLAZA RD STE 250
Second Line	:
City	:	DUBLIN
State	:	CA
Zip	:	94568-2938
Country	:	US
Telephone Number	:	925-290-7454
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2021
Last Update Date	:	03/09/2026

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