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COACHING FOR LIFE
NPI 1508264086
Social Worker - Clinical in Patchogue, NY

Active since December 15, 2014
475 E MAIN ST, STE 211, PATCHOGUE, NY 11772(631) 569-4646 Get Directions Write a Review

NPPES record last updated: December 15, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Coaching For Life NPPES

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

COACHING FOR LIFE (NPI 1508264086) is a healthcare organization registered as a clinical in Patchogue, New York and active in the NPI registry since December 2014. The organization lists Debra Coane, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1508264086
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCOACHING FOR LIFE
Location Address475 E MAIN ST, STE 211Patchogue, NY 11772-3121
Mailing Address22 Viking DrWest Islip, NY 11795-5046
Phone(631) 569-4646
Organization SubpartNo
Authorized OfficialDebra CoaneOffice Manager · (631) 681-4754
Enumeration DateDecember 15, 2014
✔ NPI 1508264086 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 NY · 082048
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.
475 E MAIN ST, Patchogue, NY 11772
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT BASEDOW
Social Worker
475 E MAIN ST
PATCHOGUE, NY 11772
Suffolk County (631) 286-8282
THERAPUTIC MEDICAL INFUSION PC
Anesthesiology (Pain Medicine)
475 E MAIN ST, SUITE 114
PATCHOGUE, NY 11772
Suffolk County (631) 475-7700
TERRY PONTINO NP
Nurse Practitioner (Acute Care)
475 E MAIN ST
EAST PATCHOGUE, NY 11772
Suffolk County (631) 475-7700
CAROLYN VELLA CASAC
Counselor (Addiction (Substance Use Disorder))
475 E MAIN ST
PATCHOGUE, NY 11772
Suffolk County (631) 569-7266
MRS. BONNIE F KOTKIN MA, LMHC
Counselor (Mental Health)
475 E MAIN ST, SUITE 200
PATCHOGUE, NY 11772
Suffolk County (516) 909-6850
DR. GINA MARIA CARDONE O.D.
Optometrist
475 E MAIN ST, 104
PATCHOGUE, NY 11772
Suffolk County (631) 654-2020
RASHA TAHA MOHAMED RIZK
Physical Therapist
475 E MAIN ST
PATCHOGUE, NY 11772
Suffolk County (631) 289-0044
WAYNE VICTOR HATAMI PT
Clinic/Center (Physical Therapy)
475 E MAIN ST, SUITE 103-105
PATCHOGUE, NY 11772
Suffolk County (631) 289-0044

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 Coaching For Life's NPI number?

The NPI number for Coaching For Life is 1508264086. It was assigned to this organization in the NPPES registry on December 15, 2014.

Where is Coaching For Life located?

Coaching For Life is located at 475 E Main St Ste 211, Patchogue, NY 11772. The listed phone number is (631) 569-4646.

What is Coaching For Life's specialty?

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

When was this NPI record last updated?

The NPPES record for Coaching For Life was last updated on December 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.