Individual provider Active NPI

Sandra A. Coyle, L.I.S.W.

  • Clinical Social Worker
  • Westlake, OH
National Provider Identifier
1962416479
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-0004587 Issued in OH
Practice address
1310 E Melrose Dr
Westlake, OH 44145-2803
Phone
(440) 333-4273
Fax
(440) 327-9245
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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 I-0004587 OH Primary

Addresses

Primary practice location

1310 E Melrose Dr
Westlake, OH 44145-2803

Mailing address

1310 E Melrose Dr
Westlake, OH 44145-2803
Phone (440) 333-4273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-0004587OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Joyce Lender MD Inc. PastSince Apr 30, 2003 Accepting new patients
Berko Psychological Associates, Inc. PastSince Dec 21, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1962416479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 E MELROSE DR",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452803",
            "telephone_number": "440-333-4273",
            "fax_number": "440-327-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 E MELROSE DR",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452803",
            "telephone_number": "440-333-4273",
            "fax_number": "440-327-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COYLE",
        "first_name": "SANDRA",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "L.I.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0004587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.