Coastal Counseling and Consulting Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

COASTAL COUNSELING AND CONSULTING SERVICES LLC

Practice address

31046 Beaver Circle
Lewes, DE 19958

Phone

(302) 228-7285

NPI assigned

Aug 19, 2020

Last updated

Sep 1, 2020By 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

Kymberly Alvarado, LCSWNPI 1194922609

Title

Ceo

Phone

(302) 228-7285

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kymberly M Alvarado, LCSW

  • Clinical Social Worker
  • Wilmington, DE
  • NPI 1194922609
  Medicare reassignment Care Compare group NPD Authorized official
• Amanda Lynn Amodeo, LCSW

  • Clinical Social Worker
  • Wilmington, DE
  • NPI 1265624134
  Medicare reassignment Care Compare group NPD
• Diana Carbone, LMHC

  • Mental Health Counselor
  • Lewes, DE
  • NPI 1992079487
  Medicare reassignment Care Compare group NPD
• Nancy L Schaefer, LPCMH

  • Mental Health Counselor
  • Wilmington, DE
  • NPI 1306947593
  Medicare reassignment Care Compare group NPD
• Anthony D Bozzi, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Lewes, DE
  • NPI 1386251932
  Medicare reassignment Care Compare group
• Willard E. Heuser, L.C.S.W., I.C.A.D.C.

  • Clinical Social Worker
  • Wilmington, DE
  • NPI 1083788129
  Medicare reassignment Care Compare group
• Rocky A Polite, LCSW, MED

  • Clinical Social Worker
  • Lewes, DE
  • NPI 1174114409
  Medicare reassignment NPD
• Tara J Troise, LCSW

  • Clinical Social Worker
  • Camden, NY
  • NPI 1386871150

  DE

  Medicare reassignment NPD
• Danielle Elaina Maldonado, LPCMH

  • Professional Counselor
  • Seaford, DE
  • NPI 1184221806
  Medicare reassignment

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1437761699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31046 BEAVER CIR",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199585581",
            "telephone_number": "302-228-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31046 BEAVER CIRCLE",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "19958",
            "telephone_number": "302-228-7285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31046 Beaver Cir",
            "address_purpose": "LOCATION",
            "city": "Lewes",
            "state": "DE",
            "postal_code": "199585581",
            "country_code": "US",
            "telephone_number": "302-228-7285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COASTAL COUNSELING AND CONSULTING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "ALVARADO",
        "authorized_official_first_name": "KYMBERLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "302-228-7285",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Lynn Clem, RN
• Susan Elaine Clem, RN
• Stacy Lynn Clinemyer, RN
• Clinic by the Sea LLC
• CLS Counseling, LLC
• Coastal Foot and Ankle, LLC
• Coastal Hearing Aid Center LLC
• Coastal IV
• Coastal Neurology and Wellness Center, LLC
• Coastal Pain Care Physicians, P.a.

• Clinical Social Worker in Lewes, DE
• Providers in Lewes, DE by specialty
• Clinical Social Worker in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.