Coalesce Social Services, Inc.

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Legal business name

COALESCE SOCIAL SERVICES, INC.

Practice address

879 W Jackson St Ste B
Cookeville, TN 38501-5901

Phone

(931) 244-2804

NPI assigned

Nov 20, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Patrick McClellan, DSWNPI 1073339784

Title

Executive Director

Phone

(931) 244-2804

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patrick McClellan, DSW

  • Peer Specialist
  • Cookeville, TN
  • NPI 1073339784
  NPD Authorized official

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1083439376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "879 W JACKSON ST STE B",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385015901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "879 W JACKSON ST STE B",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385015901",
            "telephone_number": "931-244-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COALESCE SOCIAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "MCCLELLAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "931-244-2804",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Clifton
• Christopher D Climaco, M.D.
• Heidi L Clopton, OTRL
• Jason C Clopton, O.D.
• Coalesce Medical Services LLC
• Jonathan Adam Coble, O.D.
• Joshua Coffell, LMT
• Dawn Coitrone
• Michael E Cole, MD
• Shelnessa Murlene Cole, RN

• Peer Specialist in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Peer Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.