Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Timothy R Collins, LISW-S

Individual provider Mental Health Counselor · NPI 1104228642

Timothy R Collins, LISW-S is a Mental Health Counselor in Cleveland, Ohio. Works from 2 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2014
Specialties on file
3
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Practice location Address checks out

3929 Rocky River Dr
Cleveland, OH 44111-4153
Phone: (216) 252-5800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4500 Euclid Ave, Cleveland, OH 44103-3736 — (216) 432-7200

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I.2103188 (OH)
Mental Health Counselor Taxonomy 101YM0800X · Licence I.2103188 (OH)
Social Worker Taxonomy 104100000X · Licence S 1450685 (OH)

Record details

NPI number1104228642
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW-S
Sole proprietorNo
NPI enumeratedSeptember 16, 2014
Last updated in NPPESJune 21, 2024
Certification dateJune 21, 2024

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