Organization Active NPI

Inspiring Wellness Private Practice Under Nicole L Coogan LCSW PLLC

  • Clinical Social Worker
  • Sayville, NY
National Provider Identifier
1124829643
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
INSPIRING WELLNESS PRIVATE PRACTICE UNDER NICOLE L COOGAN LCSW PLLC
Practice address
186 W Main St Unit 3
Sayville, NY 11782-2528
Phone
(631) 513-1059
NPI assigned
Mar 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Authorized official

Name
Nicole Coogan, LCSWNPI 1821559055
Title
Director/Clinical Social Worker
Phone
(631) 513-1059

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

186 W Main St Unit 3
Sayville, NY 11782-2528

Mailing address

50 Garfield Ave
Sayville, NY 11782-2611

Other practice location 1

50 Garfield Ave
Sayville, NY 11782-2611
Phone (631) 513-1059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250422002440 NY Part B Supplier - Clinic/Group Practice 7618492638 Receives reassigned benefits from 3 practitioners
Practice locations: Sayville, NY; Garden City, NY; Riverhead, NY

National Provider Directory

National Provider Directory

Locations

520 Franklin Ave
Ste 203
Garden City, NY 11530
Phone (516) 366-2490

740 Main Rd
Riverhead, NY 11901
Phone (631) 343-4184

186 W Main St
Unit 3
Sayville, NY 11782
Phone (631) 513-1059

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1124829643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 GARFIELD AVE",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117822611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 W MAIN ST UNIT 3",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117822528",
            "telephone_number": "631-513-1059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Garfield Ave",
            "address_purpose": "LOCATION",
            "city": "Sayville",
            "state": "NY",
            "postal_code": "117822611",
            "country_code": "US",
            "telephone_number": "631-513-1059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INSPIRING WELLNESS PRIVATE PRACTICE UNDER NICOLE L COOGAN LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-04-21",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "COOGAN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "DIRECTOR/CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "631-513-1059",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sayville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.