Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ebone Coakley, LCSW

Individual provider Clinical Social Worker · NPI 1992174817

Ebone Coakley, LCSW is a Clinical Social Worker in Lawrenceville, Georgia. Qualified in 2006, 20 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
20
Licensed in
GA
In the registry since
2015
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1840 Old Norcross Rd Ste 200
Lawrenceville, GA 30044-8803
Phone: (770) 355-6073
Fax: (770) 913-8027
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW004856 (GA)

Record details

NPI number1992174817
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 22, 2015
Last updated in NPPESAugust 31, 2016
Mailing address519 Harmonyview Ct, Loganville, GA 30052-6233

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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