Organization Active NPI

Coping Concepts Clinical Services Inc.

  • Clinical Social Worker
  • Chattanooga, TN
National Provider Identifier
1629215439
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4447 Issued in TN
Legal business name
COPING CONCEPTS CLINICAL SERVICES INC.
Practice address
5705 Marlin Road
Suite 2001
Chattanooga, TN 37411
Phone
(413) 718-1040
NPI assigned
Jan 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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

Authorized official

Name
Mrs. Jucinta Vernita Rome, LCSW
Title
President
Phone
(423) 718-1040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 4447 TN Primary

Addresses

Primary practice location

5705 Marlin Road
Suite 2001
Chattanooga, TN 37411

Mailing address

P.O. Box 605
Collegedale, TN 37315
Phone (423) 718-1040

Other identifiers 1

IdentifierTypeStateIssuer
1508685MedicaidTN

National Provider Directory

National Provider Directory

Locations

5708 Uptain Rd
Ste 650
Chattanooga, TN 37411
Phone (423) 321-8266

5705 Marlin Rd
Ste 2001
Chattanooga, TN 37411
Phone (413) 718-1040

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1629215439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 605",
            "city": "COLLEGEDALE",
            "state": "TN",
            "postal_code": "37315",
            "telephone_number": "423-718-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5705 MARLIN ROAD",
            "address_2": "SUITE 2001",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37411",
            "telephone_number": "413-718-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPING CONCEPTS CLINICAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "ROME",
        "authorized_official_first_name": "JUCINTA",
        "authorized_official_middle_name": "VERNITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-718-1040",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "4447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508685",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.