Organization Active NPI

Coastal Counseling & Consulting, LLC

  • Clinical Social Worker
  • Daphne, AL
National Provider Identifier
1821392580
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1105C Issued in AL
Legal business name
COASTAL COUNSELING & CONSULTING, LLC
Practice address
29000 Highway 98
Suite # a-305
Daphne, AL 36526-7272
Phone
(251) 626-5797
Fax
(251) 626-5798
NPI assigned
Jan 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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

Authorized official

Name
Ms. Pamela NMN Rawdon, LCSW
Title
Clinical Social Worker
Phone
(251) 626-5797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 1105C AL Primary

Addresses

Primary practice location

29000 Highway 98
Suite # a-305
Daphne, AL 36526-7272

Mailing address

29000 Highway 98
Suite # a-305
Daphne, AL 36526-7272
Phone (251) 626-5797

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1821392580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29000 HIGHWAY 98",
            "address_2": "SUITE # A-305",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365267272",
            "telephone_number": "251-626-5797",
            "fax_number": "251-626-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29000 HIGHWAY 98",
            "address_2": "SUITE # A-305",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365267272",
            "telephone_number": "251-626-5797",
            "fax_number": "251-626-5798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL COUNSELING & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2011-01-10",
        "status": "A",
        "authorized_official_last_name": "RAWDON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "NMN",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "251-626-5797",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1105C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.