1164636437 NPI number — MS. THERESA A. COE LCSW-R

Table of content: MS. THERESA A. COE LCSW-R (NPI 1164636437)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164636437 NPI number — MS. THERESA A. COE LCSW-R

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
COE
Provider First Name:
THERESA
Provider Middle Name:
A.
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW-R
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1164636437
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/04/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
120 4TH PLACE
Provider Second Line Business Mailing Address:
C-2
Provider Business Mailing Address City Name:
BROOKLYN
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11231-4525
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
347-267-5999
Provider Business Mailing Address Fax Number:
718-408-3276

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
164 20TH STREET
Provider Second Line Business Practice Location Address:
SUITE 3B
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11231
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-875-5051
Provider Business Practice Location Address Fax Number:
718-408-3276
Provider Enumeration Date:
05/09/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  PR045948-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 104100000X , with the licence number: PR045948-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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