Juliette Katrina McCoy, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-10992 Issued in NM

Practice address

10511 Golf Course Rd NW Ste 102
Albuquerque, NM 87114-5917

Phone

(505) 508-0808

NPI assigned

Feb 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)

Not enrolled

State licenses

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

{
    "created_epoch": "1613865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613865600000",
    "number": "1649864695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9705 TAPATIO DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871143608",
            "telephone_number": "505-270-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10511 GOLF COURSE RD NW STE 102",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145917",
            "telephone_number": "505-508-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "JULIETTE",
        "middle_name": "KATRINA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-21",
        "last_updated": "2021-02-21",
        "certification_date": "2021-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-10992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Michael McCoy
• Gabriella Marie McCoy
• Jaclyn McCoy
• Jessica Abigail McCoy
• Johanna McCoy, RDH
• Pamela Walton McCoy, PHARMD
• Sharon M McCoy
• Stephani McCoy
• Wayne Donnie McCoy, D.D.S.
• Bethany Jane McCracken, CCC-SLP

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.