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JACQUELYN COUGHLIN LCSW
NPI 1396175980
Social Worker - Clinical in Riverview, FL

Active since November 18, 2013PECOS EnrolledAccepts Medicare Assignment
10901 CARNELIAN LN, RIVERVIEW, FL 33578(813) 967-5616 Get Directions Write a Review

NPPES record last updated: November 18, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacquelyn Coughlin Lcsw NPPES

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

JACQUELYN COUGHLIN LCSW (NPI 1396175980) is an individual clinical provider in Riverview, Florida, licensed in Florida (SW 10963) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1396175980
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACQUELYN COUGHLINCredential: LCSW
Location Address10901 CARNELIAN LNRiverview, FL 33578-3915
Mailing Address10901 Carnelian LnRiverview, FL 33578-3915
Phone(813) 967-5616
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateNovember 18, 2013
✔ NPI 1396175980 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 FL · SW 10963
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.
10901 CARNELIAN LN, Riverview, FL 33578
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL 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

Jacquelyn Coughlin 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 ID9436389186
PECOS Enrollment IDI20140226000591
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 33578 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 $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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 Jacquelyn Coughlin's NPI number?

The NPI number for Jacquelyn Coughlin is 1396175980. It was assigned to this individual provider in the NPPES registry on November 18, 2013.

Where is Jacquelyn Coughlin located?

Jacquelyn Coughlin practices at 10901 Carnelian Ln, Riverview, FL 33578. The listed phone number is (813) 967-5616.

What is Jacquelyn Coughlin's specialty?

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

Is Jacquelyn Coughlin enrolled in Medicare?

Yes. Jacquelyn Coughlin 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 Jacquelyn Coughlin accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Providence Health Plan list Jacquelyn Coughlin 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 Jacquelyn Coughlin was last updated on November 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.