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

Mr. Coty Mills, LCSW

Individual provider Clinical Social Worker · NPI 1952928095

Mr. Coty Mills, LCSW is a Clinical Social Worker in Williamsburg, Virginia. Qualified in 2017, 9 years ago. Practices with Authentic Self Association LLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
9
Licensed in
VA
In the registry since
2020
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

1303 Mount Vernon Ave
Williamsburg, VA 23185-3021
Phone: (757) 918-3381
Fax: (757) 578-9119
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 0904011900 (VA)

Record details

NPI number1952928095
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 5, 2020
Last updated in NPPESJuly 5, 2020
Certification dateJuly 5, 2020
Mailing address4404 Eaglebrook Dr, Williamsburg, VA 23188-8038

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Authentic Self Association Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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