Active NPI
Sandra A. Coyle, L.I.S.W.
- Clinical Social Worker
- Westlake, OH
National Provider Identifier
1962416479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I-0004587
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| I-0004587 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joyce Lender MD Inc. | Past | Accepting new patients | |
| Berko Psychological Associates, Inc. | Past | 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.
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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.