Edward Augustus Coates, LCSW, ED.D

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW6688 Issued in FL

Practice address

6313 Clark Lake Drive
Trinity, FL 34655-6014

Phone

(727) 645-6604

NPI assigned

Aug 4, 2006

Last updated

May 19, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sara G Graff L C S W P a

  • Clinical Social Worker
  • Dunedin, FL
  • NPI 1437229846
  NPD
• Family Service Fo Rhode Island Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Providence, RI
  • NPI 1578608113
  NPD (past)
• Family Service of Rhode Island

  • Community/Behavioral Health Agency
  • Providence, RI
  • NPI 1962538322
  NPD (past)
• Family Service of Rhode Island Inc

  • Multi-Specialty Clinic/Center
  • Providence, RI
  • NPI 1053447433
  NPD (past)
• Family Service of Rhode Island Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Providence, RI
  • NPI 1063547776
  NPD (past)
• Family Service of Rhode Island Inc.

  • Case Management Agency
  • Providence, RI
  • NPI 1447308077
  NPD (past)
• Family Service of Rhode Island Inc.

  • Taxi
  • Providence, RI
  • NPI 1588709133
  NPD (past)
• Family Service of Rhode Island Inc.

  • Community/Behavioral Health Agency
  • Providence, RI
  • NPI 1588792543
  NPD (past)
• Family Service of Rhode Island Inc.

  • Multi-Specialty Clinic/Center
  • Providence, RI
  • NPI 1639214281
  NPD (past)
• Family Service of Rhode Island Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Providence, RI
  • NPI 1861528242
  NPD (past)
• Family Service of Rhode Island Inc.

  • Community/Behavioral Health Agency
  • Providence, RI
  • NPI 1952437337
  NPD (past)
• Family Service of Rhode Island, Inc.

  • Adult Mental Health Clinic/Center
  • Providence, RI
  • NPI 1598833535
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305763200000",
    "number": "1689682346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6313 CLARK LAKE DR",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "34655",
            "telephone_number": "727-645-6604",
            "fax_number": "401-277-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6313 CLARK LAKE DRIVE",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346556014",
            "telephone_number": "727-645-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COATES",
        "first_name": "EDWARD",
        "middle_name": "AUGUSTUS",
        "name_prefix": "Dr.",
        "credential": "LCSW, ED.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2011-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01446",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "526273",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "8274442000",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EC59037",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE-GROUP",
            "identifier": "050258858",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "12397075",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "413245",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP/BEACON GROUP",
            "identifier": "1021740",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "31157-3",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "62-35076",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beverly Ann Cirella, DPM
• Carol Ann Clingerman, AU.D.
• Justin William Clouse, PHARMD
• Nicole Pieper Coan
• Coast2Coast Counseling LLC
• Ana Cocea, RMHCI
• Farah Paige Coffin, LCSW
• Cogent Healthcare of Jacksonville, LLC
• James F Coleman, APRN
• Amanda Colucci, DPT

• Clinical Social Worker in Trinity, FL
• Providers in Trinity, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.