Individual provider Active NPI

Leslie Allan Coates, LCSW

  • Clinical Social Worker
  • Palm Beach Gardens, FL
National Provider Identifier
1073700290
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW4945 Issued in FL
Practice address
600 Sandtree Dr Ste 202D
Palm Beach Gardens, FL 33403-1538
Phone
(561) 252-6907
NPI assigned
Oct 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW4945 FL Primary

Addresses

Primary practice location

600 Sandtree Dr Ste 202D
Palm Beach Gardens, FL 33403-1538

Mailing address

600 Sandtree Dr Ste 202D
Palm Beach Gardens, FL 33403-1538
Phone (561) 252-6907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040720000793 FL Practitioner - Clinical Social Worker 3870572068 Practice locations: Palm Beach Gardens, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

600 Sandtree Dr
Suite 202D
Palm Beach Gardens, FL 33403-1538
Phone (561) 252-6907

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW4945FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1073700290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SANDTREE DR STE 202D",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334031538",
            "telephone_number": "561-252-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SANDTREE DR STE 202D",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334031538",
            "telephone_number": "561-252-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COATES",
        "first_name": "LESLIE",
        "middle_name": "ALLAN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-02",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW4945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.