MEDICARE: SARAH 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	104100000X	Social Worker	26415-M	AR
2	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1487128880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH COLLINS LMSW

Provider Business Mailing Address
First Line	:	110 SKYLINE DR
Second Line	:
City	:	RUSSELLVILLE
State	:	AR
Zip	:	72801-3362
Country	:	US
Telephone Number	:	479-967-5570
Fax Number	:

Provider Business Practice Location Address
First Line	:	3811 ROGERS AVE
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72903-3045
Country	:	US
Telephone Number	:	479-785-4708
Fax Number	:	479-434-6248

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

Provider Enumeration Date	:	01/18/2019
Last Update Date	:	03/03/2025

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Directions to “ SARAH COLLINS LMSW” Practice Location

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