MEDICARE: ANNA COLLINS LMSW

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	1041C0700X	Clinical Social Worker	68011119697	MI

General Provider Information

NPI Number	:	1396604278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA COLLINS LMSW

Provider Business Mailing Address
First Line	:	703 MICHIGAN ST
Second Line	:
City	:	PETOSKEY
State	:	MI
Zip	:	49770-2645
Country	:	US
Telephone Number	:	616-516-9928
Fax Number	:

Provider Business Practice Location Address
First Line	:	2810 CHARLEVOIX RD STE 102
Second Line	:
City	:	PETOSKEY
State	:	MI
Zip	:	49770-8421
Country	:	US
Telephone Number	:	231-340-9113
Fax Number	:	231-642-9116

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

Provider Enumeration Date	:	01/17/2026
Last Update Date	:	01/17/2026

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