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

Individual provider Clinical Social Worker · NPI 1689764953

Phyllis Ida Coachman, LCSWR is a Clinical Social Worker in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

30 3rd Ave
Brooklyn, NY 11217-1822
Phone: (718) 858-4626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence R045079-1 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence R045079-1 (NY)

Record details

NPI number1689764953
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWR
Sole proprietorYes
NPI enumeratedOctober 14, 2006
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024

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