Letitia V Coburn, LCSW, CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

052250 Issued in NY

Practice address

522 N State Rd Ste 202
Briarcliff Manor, NY 10510-1536

Phone

(914) 471-2632

Fax

(914) 944-0595

NPI assigned

Dec 9, 2006

Sex

Female

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 NY

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, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Gentle Growth Therapeutic Services, LCSW, PLLC

  • Adult Mental Health Clinic/Center
  • Briarcliff Manor, NY
  • NPI 1093952301
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1992865265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1872 PLEASANTVILLE RD # 129",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105101051",
            "telephone_number": "914-471-2632",
            "fax_number": "914-944-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N STATE RD STE 202",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105101536",
            "telephone_number": "914-471-2632",
            "fax_number": "914-944-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBURN",
        "first_name": "LETITIA",
        "middle_name": "V",
        "name_prefix": "Ms.",
        "credential": "LCSW, CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-09",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "052250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert James Challenor II, RN
• Sophia Chan, L.AC., DIPL. O.M.
• Tracy Cheung, DDS MS
• Lora Chudkosky, MSPT
• David Paul Chung, D.D.S.
• Mindy Cohen, LMSW
• Community Based Services, Inc.
• Catherine Connors
• Annette Contento, O.D.,F.A.A.O.
• Lois B Cook, M.A., CCC-SLP

• Clinical Social Worker in Briarcliff Manor, NY
• Providers in Briarcliff Manor, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.