Individual provider Active NPI

Suzanne Waltman Coote, LCSW

  • Clinical Social Worker
  • Savannah, GA
National Provider Identifier
1487012894
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW003125 Issued in GA
Practice address
127 Abercorn St
Suite 301B
Savannah, GA 31401
Phone
(833) 232-6638
Fax
(833) 232-6638
NPI assigned
Feb 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW003125 GA Primary

Addresses

Primary practice location

127 Abercorn St
Suite 301B
Savannah, GA 31401

Mailing address

127 Abercorn St Ste 301B
Savannah, GA 31401-4069
Phone (833) 232-6638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20161011001511 GA Practitioner - Clinical Social Worker 9739477522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

127 Abercorn St
Suite 301B
Savannah, GA 31401-4069
Phone (833) 232-6638

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW003125GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cootecare Counseling Clinical CurrentSince Jan 1, 2018 Accepting new patients

Locations

127 Abercorn St
Ste 301B
Savannah, GA 31401
Phone (833) 232-6638

127 Abercorn St
Ste 301
Savannah, GA 31401

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1487012894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 ABERCORN ST STE 301B",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314014069",
            "telephone_number": "833-232-6638",
            "fax_number": "833-569-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 ABERCORN ST",
            "address_2": "SUITE 301B",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31401",
            "telephone_number": "833-232-6638",
            "fax_number": "833-232-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOTE",
        "first_name": "SUZANNE",
        "middle_name": "WALTMAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-01",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.