Provider Demographics
NPI:1871166488
Name:COLLINS, KADE FARLOW (LCSW-A)
Entity type:Individual
Prefix:
First Name:KADE
Middle Name:FARLOW
Last Name:COLLINS
Suffix:
Gender:F
Credentials:LCSW-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1807 MARYLAND AVE
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-3288
Mailing Address - Country:US
Mailing Address - Phone:520-909-0318
Mailing Address - Fax:
Practice Address - Street 1:1807 MARYLAND AVE
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-3288
Practice Address - Country:US
Practice Address - Phone:520-909-0318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-21
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0161801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical