Coastal Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

COASTAL COUNSELING, LLC

Practice address

1845 Highway 126 Ste a-11
Florence, OR 97439-9626

Phone

(541) 782-8870

NPI assigned

Dec 25, 2019

Organization subpart

Yes

Parent organization

NORMA KAY C WOODAs reported in NPPES

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

Authorized official

Name

Norma Kay C Wood, LCSWNPI 1093964090

Title

Owner

Phone

(804) 439-1775

Specialties & licenses 1

Addresses

Part of

Coastal Counseling LLC

Locations

Practitioners 1

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

• Norma Kay C Wood, LCSW

  • Clinical Social Worker
  • Florence, OR
  • NPI 1093964090
  NPD (past) Authorized official

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

{
    "created_epoch": "1577232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577232000000",
    "number": "1245879121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88472 4TH AVE",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974399106",
            "telephone_number": "541-782-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 HIGHWAY 126 STE A-11",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974399626",
            "telephone_number": "541-782-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL COUNSELING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORMA KAY C WOOD",
        "enumeration_date": "2019-12-25",
        "last_updated": "2019-12-25",
        "certification_date": "2019-12-25",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "NORMA KAY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-439-1775",
        "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": []
}

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• Kim P Corvin, R.N.

• Clinical Social Worker in Florence, OR
• Providers in Florence, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2019; 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.