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DERNAY TOY COLEY LCSW
NPI 1215542899
Social Worker - Clinical in Edinburg, TX

Active since September 10, 2020PECOS EnrolledAccepts Medicare Assignment
81.44/100
CMS Quality Rating
1214 W SCHUNIOR ST FL STREET1, EDINBURG, TX 78541(956) 296-1987(956) 358-9225 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 29, 2025, Sep 18, 2020, Sep 10, 2020 (3 updates tracked since 2020).

About Dernay Toy Coley Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERNAY TOY COLEY LCSW (NPI 1215542899) is an individual clinical provider in Edinburg, Texas, licensed in Texas (51732) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Harlingen, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1215542899
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDERNAY TOY COLEYCredential: LCSW
Location Address1214 W SCHUNIOR ST FL STREET1Edinburg, TX 78541-2337
Mailing AddressPo Box 531968Harlingen, TX 78553-1968 · (833) 887-4863
Phone(956) 296-1987
Fax(956) 358-9225
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateSeptember 10, 2020
Last NPPES UpdateMay 29, 20253 updates tracked since enumeration
NPPES CertifiedMay 29, 2025
✔ NPI 1215542899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TX · 51732
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1214 W SCHUNIOR ST FL STREET1, Edinburg, TX 78541
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Other Names 1

Other Name (5)Mrs. Dernay Toy Coley-torres Lcsw

Secondary Practice Location 1

Location 12902 Haine DrHarlingen, TX 78550-8969 · Phone (956) 296-4000 · Fax (956) 296-2842

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dernay Toy Coley Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274952338
PECOS Enrollment IDI20200923002593
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78541 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.84 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.83
Promoting Interoperability98
Improvement Activities40
Cost49.23

Reported Quality Measures

Documentation of Current Medications in the Medical Record
89%88 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
33%33 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
7%46 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 41% · 32 patients
41%32 patients
Provide Patients Electronic Access to Their Health Information
100%51 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dernay Coley's NPI number?

The NPI number for Dernay Coley is 1215542899. It was assigned to this individual provider in the NPPES registry on September 10, 2020. The provider is also known as Mrs. Dernay Toy Coley-Torres Lcsw.

Where is Dernay Coley located?

Dernay Coley practices at 1214 W Schunior St Fl Street1, Edinburg, TX 78541. The listed phone number is (956) 296-1987.

What is Dernay Coley's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Dernay Coley enrolled in Medicare?

Yes. Dernay Coley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Dernay Coley accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company and UnitedHealthcare list Dernay Coley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dernay Coley was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.