Kathleen Coates, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

091154 Issued in NY

Practice address

463 Main St Apt 2B
Farmingdale, NY 11735-3571

Phone

(917) 880-1041

NPI assigned

Nov 22, 2021

Last updated

Nov 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kathleen Blagar Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1528725751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 MAIN ST APT 2B",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353571",
            "telephone_number": "917-880-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 MAIN ST APT 2B",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353571",
            "telephone_number": "917-880-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COATES",
        "first_name": "KATHLEEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "BLAGAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lara Ann Cioffi
• Michael Richard Cirina, DPT
• Anthony Citriniti, DDS
• Jeanette Cristine Clark, RN
• Nashon Clark
• Sameika Cobb
• Jenna Fae Cohen, M.S. ED.
• Larry Cohen
• Deborah Colacino, RN
• Jennifer Colella

• Clinical Social Worker in Farmingdale, NY
• Providers in Farmingdale, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.