Coty Mills, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904011900 Issued in VA

Practice address

1303 Mount Vernon Ave
Williamsburg, VA 23185-3021

Phone

(757) 918-3381

Fax

(757) 578-9119

NPI assigned

Jul 5, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Authentic Self Association LLCGroup PAC ID 7911422407, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Authentic Self Association LLC

  • Clinical Social Worker
  • Williamsburg, VA
  • NPI 1720854466
  Medicare reassignment Care Compare group NPD Authorized official
• Bloom Mental Health Foundation

  • Clinical Social Worker
  • Williamsburg, VA
  • NPI 1851042766
  NPD (past)

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

{
    "created_epoch": "1593907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593907200000",
    "number": "1952928095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 EAGLEBROOK DR",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231888038",
            "telephone_number": "757-918-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 MOUNT VERNON AVE",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853021",
            "telephone_number": "757-918-3381",
            "fax_number": "757-578-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "COTY",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-05",
        "last_updated": "2020-07-05",
        "certification_date": "2020-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miller, DDS, PC
• John Francois Miller, MD
• Marcia Lou Miller, MS PT CHT
• Mary T Millis, PTA
• Mills Speech Therapy
• Dominique Antawn Mills, LPC-R
• Katherine Mills
• Kristie Marlene Mishler, PHARM.D.
• Jennifer Mishoe, LMT
• Mission Mind Wellness, LLC

• Clinical Social Worker in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.