MEDICARE: REBECCA KAY MCCOY L.C.S.W

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	18353	MN
2	1041C0700X	Clinical Social Worker	SW16382	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427370691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA KAY MCCOY L.C.S.W

Provider Business Mailing Address
First Line	:	2833 56TH LN N
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33710-2557
Country	:	US
Telephone Number	:	612-209-2021
Fax Number	:

Provider Business Practice Location Address
First Line	:	4700 N HABANA AVE STE 600
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-7121
Country	:	US
Telephone Number	:	612-209-2021
Fax Number	:

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

Provider Enumeration Date	:	02/15/2010
Last Update Date	:	11/06/2025

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