Kathleen Elizabeth Coughlin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW14331 Issued in FL

Practice address

1275 W Granada Blvd Ste 6a
Ormond Beach, FL 32174-8105

Phone

(610) 248-0059

NPI assigned

Jul 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oceanvista Counseling Associates, LLCGroup PAC ID 2668855644, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oceanvista Counseling Associates, LLC

  • Adult Mental Health Clinic/Center
  • Ormond Beach, FL
  • NPI 1912588039
  Medicare reassignment Care Compare group NPD
• Ocean Vista Counseling, LLC

  • Clinical Social Worker
  • Ormond Beach, FL
  • NPI 1760980502
  Medicare reassignment Authorized official
• A New Dawn Psychotherapy Associates LLC

  • Clinical Social Worker
  • Bethlehem, PA
  • NPI 1851895163
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1396759874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 ALDENHAM LN",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741411",
            "telephone_number": "610-248-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 W GRANADA BLVD STE 6A",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748105",
            "telephone_number": "610-248-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUGHLIN",
        "first_name": "KATHLEEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904012901",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW14331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornerstone Medical Management, Inc.
• Sharen R Corpuz, ARNP
• Sherise Cortese, MS, RDN, LDN
• Anthony R. Costarella, M.D.
• Fredrick William Costello, D.D.S.
• Counseling Associates of Ormond Beach
• Lisa Cousins, APRN
• Covenant Healthcare Lab, LLC
• Daniel Ernest Cox, D.D.S.
• Margaret Craddock

• Clinical Social Worker in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.