The Support Project, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 15838 Issued in CA

Legal business name

THE SUPPORT PROJECT, INC

Practice address

3527 Sacramento St Ste 102
San Francisco, CA 94118-1884

Phone

(415) 563-3294

Fax

(510) 531-4764

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert Coe, LCSWNPI 1902908643

Title

President

Phone

(415) 563-3294

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Robert Lee Coe, LCSW

  • Mental Health Counselor
  • San Francisco, CA
  • NPI 1902908643
  NPD Authorized official

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225060874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3527 SACRAMENTO ST STE 102",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181884",
            "telephone_number": "415-563-3294",
            "fax_number": "510-531-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3527 SACRAMENTO ST STE 102",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181884",
            "telephone_number": "415-563-3294",
            "fax_number": "510-531-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SUPPORT PROJECT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-563-3294",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 15838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ33489Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.