Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Phyllis Ferguson Collum, LCSW

Individual provider Mental Health Counselor · NPI 1902202054

Mrs. Phyllis Ferguson Collum, LCSW is a Clinical Social Worker in Dolton, Illinois. Qualified in 2006, 20 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Years since qualifying
20
Licensed in
IL
In the registry since
2014
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

15539 Dobson Ave
Dolton, IL 60419-2708
Phone: (312) 810-5203
Fax: (773) 654-3875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9550 W 167th St Ste 100, Orland Park, IL 60467-5561 — (708) 478-3960

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149015907 (IL)
Mental Health Counselor Taxonomy 101YM0800X · Licence 149015907 (IL)
Professional Counselor Taxonomy 101YP2500X · Licence 149015907 (IL)

Record details

NPI number1902202054
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 17, 2014
Last updated in NPPESApril 4, 2024
Certification dateApril 4, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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