Individual provider Active NPI

Pamela Erin Coats, LCSW

  • Clinical Social Worker
  • Beardstown, IL
National Provider Identifier
1750654174
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149016163 Issued in IL
Practice address
8590 Saint Lukes Dr
Beardstown, IL 62618-8398
Phone
(217) 323-2242
NPI assigned
Feb 15, 2012
Last updated
Sep 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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 149016163 IL Primary

Addresses

Primary practice location

8590 Saint Lukes Dr
Beardstown, IL 62618-8398

Mailing address

331 S Main St
Virginia, IL 62691-1571
Phone (217) 322-4373

Other practice location 1

127 S Liberty St
Rushville, IL 62681-1419
Phone (217) 322-4373

Other practice location 2

331 S Main St
Virginia, IL 62691-1571
Phone (217) 452-3057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181009001588 IL Order and Referring Only - Clinical Social Worker 4789814989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149016163ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cass County Public Health Dept Past Accepting new patients
Cass County Public Health Dept Past Accepting new patients
Cass County Public Health Dept Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: pamela.coats.p15@direct.fhn-fqhc.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1750654174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 S MAIN ST",
            "city": "VIRGINIA",
            "state": "IL",
            "postal_code": "626911571",
            "telephone_number": "217-322-4373",
            "fax_number": "217-322-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8590 SAINT LUKES DR",
            "city": "BEARDSTOWN",
            "state": "IL",
            "postal_code": "626188398",
            "telephone_number": "217-323-2242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 S Liberty St",
            "address_purpose": "LOCATION",
            "city": "Rushville",
            "state": "IL",
            "postal_code": "626811419",
            "country_code": "US",
            "telephone_number": "217-322-4373",
            "fax_number": "217-322-2138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "331 S MAIN ST",
            "address_purpose": "LOCATION",
            "city": "VIRGINIA",
            "state": "IL",
            "postal_code": "626911571",
            "country_code": "US",
            "telephone_number": "217-452-3057",
            "fax_number": "217-452-7245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COATS",
        "first_name": "PAMELA",
        "middle_name": "ERIN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-15",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149016163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beardstown, IL

Sources for this page

Verify at the official NPI Registry.