Kerrie Collazo
NPI 1780228106ActiveIndividual· Social Worker· Garden City, NY
Social Worker in Garden City, New York, trained at State University of New York at Stony Brook, School of Medicine (class of 2019). Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1780228106 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Oct 29, 2019 |
| Last updated in NPPES | Aug 5, 2024 |
| Certified by provider | Aug 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | 107633 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (NY) |
|---|
Education and affiliations
| Medical school | State University of New York at Stony Brook, School of Medicine |
|---|---|
| Graduation year | 2019 |
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
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All 68 social workers in Garden City · All social workers in New York