Active NPI
Kathleen Coty, LCSW
- Clinical Social Worker
- Sarasota, FL
National Provider Identifier
1093917700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW2103
- Practice address
- 5340 Traylor Ave
Sarasota, FL 34234-3305 - Phone
- (561) 866-6130
- Fax
- (941) 359-0789
- NPI assigned
- Jun 4, 2007
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW2103 | FL | Primary |
Addresses
Primary practice location
5340 Traylor Ave
Sarasota, FL 34234-3305
Mailing address
5340 Traylor Ave
Sarasota, FL 34234-3305
Phone (561) 866-6130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z44470 | Other | FL | BLUECROSSBLUESHIELD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW2103 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587600000000",
"number": "1093917700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5340 TRAYLOR AVE",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342343305",
"telephone_number": "561-866-6130",
"fax_number": "941-359-0789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5340 TRAYLOR AVE",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342343305",
"telephone_number": "561-866-6130",
"fax_number": "941-359-0789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTY",
"first_name": "KATHLEEN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2020-04-23",
"certification_date": "2020-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW2103",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHIELD",
"identifier": "Z44470",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.