Coalesce Family Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

COALESCE FAMILY SERVICES LLC

Practice address

1805 Clemson Rd Unit 290171
Columbia, SC 29229-0507

Phone

(803) 262-7486

Fax

(843) 459-7987

NPI assigned

Dec 21, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Hazel E Jacobs, LCSW, LISW-CPNPI 1376986976

Title

Owner

Phone

(803) 262-7486

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hazel Jacobs, LCSW, LISW-CP

  • Clinical Social Worker
  • Columbia, SC
  • NPI 1376986976
  NPD Authorized official

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722729600000",
    "number": "1972372613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10120 TWO NOTCH RD # 361",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292234395",
            "telephone_number": "803-262-7486",
            "fax_number": "843-459-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 CLEMSON RD UNIT 290171",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292290507",
            "telephone_number": "803-262-7486",
            "fax_number": "843-459-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COALESCE FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-21",
        "last_updated": "2024-08-04",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "HAZEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-262-7486",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, LISW-CP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Lynn Clubb-Charles, OTR/L
• Steven Lawson Clubb
• Shalonda Clyburn, IBCLC
• Cma LLC (Carolina Health Care)
• CMK Counseling LLC
• Africa Coardes
• Eric Coates, M.D.
• Deniene H Coats, RPH
• Narja Coaxum, RBT
• Salema Coaxum, PMHNP

• Clinical Social Worker in Columbia, SC
• Providers in Columbia, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2024; 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.