MEDICARE: COCO PHILLIPS MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	21001	FL

General Provider Information

NPI Number	:	1679425698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COCO PHILLIPS MSW

Provider Business Mailing Address
First Line	:	4160 NW 2ND AVE
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33431-4181
Country	:	US
Telephone Number	:	754-214-5077
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 N CONGRESS AVE
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33426-3303
Country	:	US
Telephone Number	:	754-214-5077
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

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Directions to “ COCO PHILLIPS MSW” Practice Location

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