Dennis Michael Coy, LCSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60534498 Issued in WA

Practice address

423 Pacific Ave Ste 302
Bremerton, WA 98337-1940

Phone

(773) 729-0383

NPI assigned

Sep 11, 2009

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 names 1

• D. Michael Coy Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2022 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1750614533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 BURWELL ST",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983371224",
            "telephone_number": "773-729-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 PACIFIC AVE STE 302",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983371940",
            "telephone_number": "773-729-0383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1904 3rd Ave Ste 614",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981011160",
            "country_code": "US",
            "telephone_number": "206-745-2527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COY",
        "first_name": "DENNIS",
        "middle_name": "MICHAEL",
        "credential": "LCSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-11",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60534498",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149013425",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "D. MICHAEL",
            "last_name": "COY",
            "credential": "LCSW, LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Bonnie Covey
• Lisa Eve Cowan
• Amy June Cox, RPH
• Angela Leann Cox
• Sarah Cox
• Kimberly Anne Coy
• Heather Noelle Cozad Staley
• Madison Craft
• Cramer Smith PLLC
• James Cramer, RN

• Clinical Social Worker in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.