MEDICARE: SOPHIE COATS LMSW

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	104100000X	Social Worker	111328	TX

General Provider Information

NPI Number	:	1659186856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOPHIE COATS LMSW

Provider Business Mailing Address
First Line	:	7424 E HWY 290
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78723-1571
Country	:	US
Telephone Number	:	201-749-7036
Fax Number	:

Provider Business Practice Location Address
First Line	:	7424 E HWY 290
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78723-1571
Country	:	US
Telephone Number	:	512-230-4050
Fax Number	:

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

Provider Enumeration Date	:	02/13/2025
Last Update Date	:	02/13/2025

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Directions to “ SOPHIE COATS LMSW” Practice Location

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