Coughlin Counseling, LLC
Organization Active NPI Clinical Social Worker · Topsham, ME
NPI 1942585104 · NPPES record last updated Sep 16, 2013
Key facts
- NPI
- 1942585104
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LC8502 (ME)
- Legal business name
- COUGHLIN COUNSELING, LLC
- Practice address
- 63 Elm St Ste a
Topsham, ME 04086-1424 - Phone
- (207) 751-8518
- NPI assigned
- Oct 19, 2011
- Organization subpart
- No
Authorized official
- Name
- Brenna Coughlin
- Title
- Owner
- Phone
- (207) 751-8518
Practitioners 1
-
Brenna Coughlin, L.C.S.W
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111128000373 | ME | Part B Supplier - Clinic/Group Practice | 0042484206 |
Receives reassigned benefits from 1 practitioner Practice locations: Topsham, ME |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | LC8502 | ME | Yes |
Addresses
Primary practice location
63 Elm St Ste a
Topsham, ME 04086-1424
Mailing address
63 Elm St Ste a
Topsham, ME 04086-1424
Phone (207) 751-8518
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194977371 | Other | ME | INDIVIDUAL NPI |
Other providers in Topsham, ME
- Teresa Leigh Coffey
- Nancy J Coleman
- Kate Connor
- Jay Edward Conway
- Nolan Coon
- Brenna Coughlin
- Crataegus Family Medicine
- Kayla Jane Crist
- Vivian Curren
- Stephen Curtin
All providers in Topsham, ME · Clinical Social Worker in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.