Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kerrie Collazo

Individual provider Social Worker · NPI 1780228106

Kerrie Collazo is a Clinical Social Worker in Garden City, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2019, 7 years ago. Practices as a sole proprietor and offers telehealth. Licensed in New York.

Years since qualifying
7
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2019
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Practice location Address checks out

191 Dorchester Rd
Garden City, NY 11530-5610
Phone: (516) 850-2795
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 107633 (NY)

Record details

NPI number1780228106
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 29, 2019
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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