Individual provider Active NPI

Cynthia Lynn Coffelt, LCSW, MPH

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1336607969
Registry record updated Mar 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
075856 Issued in NY
Practice address
151 W 26TH St RM 1001
New York, NY 10001-6959
Phone
(646) 664-1999
NPI assigned
Mar 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 075856 NY Primary
Clinical Social Worker 1041C0700X 27646 CA

Addresses

Primary practice location

151 W 26TH St RM 1001
New York, NY 10001-6959

Mailing address

151 W 26TH St RM 1001
New York, NY 10001-6959
Phone (646) 664-1999

Other practice location 1

602 Harrison Rd
Perrysburg, OH 43551-6314
Phone (310) 994-8337

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
075856NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1551484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551484800000",
    "number": "1336607969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 W 26TH ST RM 1001",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016959",
            "telephone_number": "646-664-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 W 26TH ST RM 1001",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016959",
            "telephone_number": "646-664-1999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "602 Harrison Rd",
            "address_purpose": "LOCATION",
            "city": "Perrysburg",
            "state": "OH",
            "postal_code": "435516314",
            "country_code": "US",
            "telephone_number": "310-994-8337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COFFELT",
        "first_name": "CYNTHIA",
        "middle_name": "LYNN",
        "credential": "LCSW, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-02",
        "last_updated": "2019-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075856",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "27646",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.