Erica Coyle
Individual provider Active NPI Social Worker · Lisbon, OH
NPI 1942626239 · NPPES record last updated Mar 6, 2020
Key facts
- NPI
- 1942626239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- S1201410 (OH)
- Practice address
- 7880 Lincole PL
Lisbon, OH 44432-8324 - Phone
- (330) 424-5686
- NPI assigned
- Mar 11, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S1201410 | OH | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S1201410 | OH | Yes |
Addresses
Primary practice location
7880 Lincole PL
Lisbon, OH 44432-8324
Mailing address
7880 Lincole PL
Lisbon, OH 44432-8324
Phone (330) 424-5686
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2846675 | Medicaid | OH |
Other providers in Lisbon, OH
- Columbiana County Mental Health Clinic
- Columbiana County Mental Health Clinic
- Community Action Agency of Columbiana Cnty, Inc
- Community Action Agency of Columbiana County Inc
- Community Action Agency of Columbiana County, Inc
- Morgan P Craig
- Stacie Crawford
- Danielle Marie Crouse
- Kelly Curran Brooks
- Pamela Dailey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.