Mandy Alecia McCoy, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15956 Issued in LA

Practice address

815 Crescent St
Breaux Bridge, LA 70517-4109

Phone

(318) 613-7675

NPI assigned

Jun 21, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Mandy McCoy Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lafayette, LA
  • NPI 1841056157
  NPD Authorized official
• True Bayou Counseling & Consulting LLC

  • Clinical Social Worker
  • Lafayette, LA
  • NPI 1174200752
  NPD

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1629647102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 CRESCENT ST",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705174109",
            "telephone_number": "318-613-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 CRESCENT ST",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705174109",
            "telephone_number": "318-613-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "MANDY",
        "middle_name": "ALECIA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "15956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcus Michael Marullo, MS, LAC, CCS, AADC
• Andrea Lynn Matthews, MPT
• Vanetta F Matthews
• MC Transit, LLC
• Taylor McCaulley, PLPC
• Cheryl M McDaniel, M.ED.,CCC-SLP
• Colin David McGibboney
• Max McLeod, P.T.
• Med Ed of Louisiana, Inc.
• Med-Air, LLC.

• Clinical Social Worker in Breaux Bridge, LA
• Providers in Breaux Bridge, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.