Individual provider Active NPI

Brianna Elia Coque, MSW, LCSW

  • Clinical Social Worker
  • Santa Ana, CA
National Provider Identifier
1063041341
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
130133 Issued in CA
Practice address
1801 Park Court PL BLDG H
Santa Ana, CA 92701-5028
Phone
(510) 317-1444
NPI assigned
Apr 7, 2020
Last updated
Jun 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 109838 CA
Clinical Social Worker 1041C0700X 130133 CA Primary

Addresses

Primary practice location

1801 Park Court PL BLDG H
Santa Ana, CA 92701-5028

Mailing address

233 S Quintana Dr
Anaheim, CA 92807-4029
Phone (714) 881-8600

Other practice location 1

9916 Central Ave
Montclair, CA 91763-3201
Phone (909) 450-2502

Other practice location 2

10775 Pioneer Trl Ste 215
Truckee, CA 96161-0234
Phone (415) 424-4266

Other practice location 3

233 S Quintana Dr
Anaheim, CA 92807-4029
Phone (714) 881-8600

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

State licenses

LicenseStateTypeSpecialty
109838CAMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1063041341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 S QUINTANA DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928074029",
            "telephone_number": "714-881-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 PARK COURT PL BLDG H",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015028",
            "telephone_number": "510-317-1444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9916 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "CA",
            "postal_code": "917633201",
            "country_code": "US",
            "telephone_number": "909-450-2502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10775 Pioneer Trl Ste 215",
            "address_purpose": "LOCATION",
            "city": "Truckee",
            "state": "CA",
            "postal_code": "961610234",
            "country_code": "US",
            "telephone_number": "415-424-4266",
            "fax_number": "415-520-6633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "233 S Quintana Dr",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928074029",
            "country_code": "US",
            "telephone_number": "714-881-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COQUE",
        "first_name": "BRIANNA",
        "middle_name": "ELIA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "109838",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "130133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.