Breannah R McCoy, MSW, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P013740 Issued in NC

Practice address

418 Eugene CT
Greensboro, NC 27401-2714

Phone

(336) 365-8354

Fax

(336) 365-2380

NPI assigned

Jan 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1992395487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 EUGENE CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012714",
            "telephone_number": "336-365-8354",
            "fax_number": "336-365-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 EUGENE CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012714",
            "telephone_number": "336-365-8354",
            "fax_number": "336-365-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "BREANNAH",
        "middle_name": "R",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P013740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ldbadmin@progressingthroughtherapy.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "418 Eugene Ct",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274012714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John S McComb, M.D.
• Rosanna Carol McConnell, MD
• Haley Dane McCord, LCSWA
• Jennifer E McCord, MD
• Hilary Bryan McCormick, MD
• Bruce Phillip McCoy, MD
• Claudia W McCoy, LSCW
• Ernest Augustus McCoy, EDS MSW LCSW
• Olen Omari McCoy
• Rachel McCoy, NP

• Clinical Social Worker in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.