Mrs Phyllis Ferguson Collum, LCSW is a
Social Worker - Clinical based in Dolton, Illinois. Mrs Phyllis Ferguson Collum is licensed to practice in Illinois (license number 149015907) and her current practice location is
15539 Dobson Ave, Dolton, Illinois. She can be reached at her office (for appointments etc.) via phone at
(312) 810-5203.
NPI number for Mrs Phyllis Ferguson Collum is 1902202054 and her current mailing address is 15539 Dobson Ave, Dolton, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902202054.
Healthcare Provider's Profile
Full Name | Mrs Phyllis Ferguson Collum |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 15539 Dobson Ave, Dolton, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902202054
- Provider Enumeration Date: 11/17/2014
- Last Update Date: 04/04/2024
Medical Identifiers
Medical identifiers for Mrs Phyllis Ferguson Collum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902202054 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 149015907 (Illinois) | Secondary |
101YP2500X | Counselor - Professional | 149015907 (Illinois) | Secondary |
1041C0700X | Social Worker - Clinical | 149015907 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Phyllis Ferguson Collum is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Phyllis Ferguson Collum, LCSW 15539 Dobson Ave, Dolton, IL 60419-2708 Ph: (312) 810-5203 | Mrs Phyllis Ferguson Collum, LCSW 15539 Dobson Ave, Dolton, IL 60419-2708 Ph: (312) 810-5203 |
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