Stephanie Nelson Coker, LCSW, LCDC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

35454 Issued in TX

Practice address

5168 Village Creek Dr
Ste 200
Plano, TX 75093-5096

Phone

(972) 318-9272

Fax

(972) 803-3099

NPI assigned

Jan 2, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Stephanie Basham Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1639415177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5168 VILLAGE CREEK DR",
            "address_2": "STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935096",
            "telephone_number": "972-318-9272",
            "fax_number": "972-803-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5168 VILLAGE CREEK DR",
            "address_2": "STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935096",
            "telephone_number": "972-318-9272",
            "fax_number": "972-803-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COKER",
        "first_name": "STEPHANIE",
        "middle_name": "NELSON",
        "credential": "LCSW, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-02",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "35454",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "12619",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "BASHAM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Coit RX LLC
• Coit RX LLC (west plano pharmacy)
• Eitel J Colberg, M.D.
• Ethan A. Colby, M.D.
• Cole Clinic, PA
• Brady Cole
• Cassi Lee Cole, MPT

• Clinical Social Worker in Plano, TX
• Providers in Plano, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.