Active NPI
Jennifer Patricia Coetzee
- Social Worker
- Marlinton, WV
National Provider Identifier
1063000339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 614 2ND Ave
Marlinton, WV 24954-1111 - Phone
- (681) 318-9232
- NPI assigned
- Jan 4, 2021
- Last updated
- Jan 4, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | NU | Primary |
Addresses
Primary practice location
614 2ND Ave
Marlinton, WV 24954-1111
Mailing address
PO Box 449
Marlinton, WV 24954-0449
Phone (681) 318-9232
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jcoetzee@pcgus.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609718400000",
"number": "1063000339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 449",
"city": "MARLINTON",
"state": "WV",
"postal_code": "249540449",
"telephone_number": "681-318-9232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "614 2ND AVE",
"city": "MARLINTON",
"state": "WV",
"postal_code": "249541111",
"telephone_number": "681-318-9232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COETZEE",
"first_name": "JENNIFER",
"middle_name": "PATRICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-04",
"last_updated": "2021-01-04",
"certification_date": "2021-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jcoetzee@pcgus.com",
"affiliation": "N",
"endpointDescription": "secure email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "614 2nd Ave",
"city": "Marlinton",
"state": "WV",
"country_code": "US",
"postal_code": "249541111",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Marlinton, WV
- Sherry Carpenter
- Elizabeth Carroll
- Linda Clifton
- Lisa Marie Cline, RN
- Mary Coberly
- Kimberly Dawn Coleman, RN
- Community Care of West Virginia, Inc. (Community Care of Marlinton)
- Community Care of West Virginia, Inc. (Marlinton Middle School Wellness Center)
- Community Care of West Virginia, Inc. (Community Care Pharmacy of Marlinton)
- Community Care of West Virginia, Inc. (Marlinton Elementary School Wellness Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.