Susan J. Coe, PHD., P.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149003539 Issued in IL

Legal business name

SUSAN J. COE, PHD., P.C.

Practice address

800 S McHenry Ave
Suite B
Crystal Lake, IL 60014-7487

Phone

(815) 245-7400

Fax

(815) 455-0592

NPI assigned

May 12, 2017

Last updated

May 12, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan J Coe, PHD.

Title

President

Phone

(815) 845-7400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1427585181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S MCHENRY AVE",
            "address_2": "SUITE B",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147487",
            "telephone_number": "815-245-7400",
            "fax_number": "815-455-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S MCHENRY AVE",
            "address_2": "SUITE B",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147487",
            "telephone_number": "815-245-7400",
            "fax_number": "815-455-0592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN J. COE, PHD., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-12",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "COE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-845-7400",
        "authorized_official_credential": "PHD."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149003539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xuefan Sun, PHARMD
• Superior Health and Wellness of Crystal Lake, LTD.
• Sean Mark Labastida Superticioso, PT
• Nicolette Surico, LCPC
• Richard Joseph Surowiak, O.D.
• Hunter Sussky
• Sharon Ruth Swan, L.P.N.
• Swank Therapy LLC
• Alex Kazimier Swanson, DC
• Susan G Swanson, DNP

• Clinical Social Worker in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.