Individual provider Active NPI

Sean Alan Coe, LCSW

  • Clinical Social Worker
  • Santa Clarita, CA
National Provider Identifier
1730338898
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS27354 Issued in CA
Practice address
22777 Lyons Ave
Suite 106a
Santa Clarita, CA 91321-2849
Phone
(818) 456-3011
Fax
(661) 222-7374
NPI assigned
Sep 15, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS27354 CA Primary

Addresses

Primary practice location

22777 Lyons Ave
Suite 106a
Santa Clarita, CA 91321-2849

Mailing address

22777 Lyons Ave
Suite 106a
Santa Clarita, CA 91321-2849
Phone (818) 456-3011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27354CAMDPsychologist
LCS27354CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1730338898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22777 LYONS AVE",
            "address_2": "SUITE 106A",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913212849",
            "telephone_number": "818-456-3011",
            "fax_number": "661-222-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22777 LYONS AVE",
            "address_2": "SUITE 106A",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913212849",
            "telephone_number": "818-456-3011",
            "fax_number": "661-222-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COE",
        "first_name": "SEAN",
        "middle_name": "ALAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-15",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS27354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

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