Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. PHYLLIS FERGUSON COLLUM, LCSW
Active Sole ProprietorMRS. PHYLLIS FERGUSON COLLUM, LCSW is a Clinical Social Worker healthcare provider located in DOLTON, Illinois. NPI 1902202054 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · DOLTON, IL
Registration Details
- NPI Number
- 1902202054
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 17, 2014 (11.716639920511 yrs)
- Last Updated
- Apr 4, 2024
- Licenses
-
149015907 (IL)149015907 (IL)149015907 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15539 DOBSON AVEDOLTON, IL, 604192708Browse IL providers · Browse ZIP 60419
- Phone
- 3128105203
- Fax
- 7736543875
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Professional Counselor
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in DOLTON, IL
| Name | Credential | NPI |
|---|---|---|
| MR. SHAUNE DOUGLAS FREEMAN | LCSW | 1700405594 |
| JONETTA A CLARK | — | 1750998407 |
| KRISTIAN NELSON | — | 1699402974 |
| MRS. YAZMINE NICOLE HOWARD | LCSW | 1720702541 |
| PARIS WILLIAMS | — | 1265145643 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.