Organization Active NPI

Cootecare Counseling

  • Clinical Social Worker
  • Savannah, GA
National Provider Identifier
1700393162
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW003125 Issued in GA
Legal business name
COOTECARE COUNSELING
Practice address
127 Abercorn St Ste 301B
Savannah, GA 31401-4069
Phone
(833) 232-6638
Fax
(833) 569-3858
NPI assigned
Jan 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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

Authorized official

Name
Suzanne Coote, LCSWNPI 1487012894
Title
Owner/Provider
Phone
(912) 660-7358

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CSW003125 GA Primary

Addresses

Primary practice location

127 Abercorn St Ste 301B
Savannah, GA 31401-4069

Mailing address

127 Abercorn St Ste 301B
Savannah, GA 31401-4069
Phone (833) 232-6638

Other identifiers 1

IdentifierTypeStateIssuer
1487012894OtherGAINDIVIDUAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180802000448 GA Part B Supplier - Clinic/Group Practice 3779831037 Receives reassigned benefits from 1 practitioner
Practice locations: Savannah, GA

National Provider Directory

National Provider Directory

Locations

127 Abercorn St
Ste 301B
Savannah, GA 31401
Phone (833) 232-6638

127 Abercorn St
Ste 301
Savannah, GA 31401

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515369600000",
    "number": "1700393162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 ABERCORN ST STE 301B",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314014069",
            "telephone_number": "833-232-6638",
            "fax_number": "833-569-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 ABERCORN ST STE 301B",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314014069",
            "telephone_number": "833-232-6638",
            "fax_number": "833-569-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOTECARE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A",
        "authorized_official_last_name": "COOTE",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "912-660-7358",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1487012894",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.