Individual provider · Type 1 NPI
Phyllis Ida Coachman, LCSWR
Clinical Social Worker · Staten Island, NY
Practice location
30 Sky Ln
Staten Island, NY 10304-4656
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | R045079-1 (NY) |
| Mental Health Counselor | 101YM0800X | R045079-1 (NY) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1689764953
Phyllis Ida Coachman, LCSWR's National Provider Identifier is 1689764953, issued on Oct 14, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Staten Island, NY. The record was last updated on Sep 24, 2026.