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COASTAL MENTAL HEALTH & WELLNESS, LLC
NPI 1679082978
Social Worker - Clinical in Lakewood Ranch, FL

Active since September 29, 2017
11705 EVENING WALK DRIVE, LAKEWOOD RANCH, FL 34211(941) 928-9774 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 9, 2025, Feb 23, 2023 (2 updates tracked since 2023).

About Coastal Mental Health & Wellness, Llc NPPES

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

COASTAL MENTAL HEALTH & WELLNESS, LLC (NPI 1679082978) is a healthcare organization registered as a clinical in Lakewood Ranch, Florida and active in the NPI registry since September 2017. The organization lists Victoria Defalco Charland, Ambr, as its authorized official.

NPPES Registry Identity

NPI1679082978
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCOASTAL MENTAL HEALTH & WELLNESS, LLC
Location Address11705 EVENING WALK DRIVELakewood Ranch, FL 34211
Mailing AddressPo Box 728Nokomis, FL 34274-0728 · (941) 423-2728
Phone(941) 928-9774
Organization SubpartNo
Authorized OfficialVictoria Defalco CharlandAmbr · (941) 928-9774
Enumeration DateSeptember 29, 2017
Last NPPES UpdateJanuary 9, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2025
✔ NPI 1679082978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
11705 EVENING WALK DRIVE, Lakewood Ranch, FL 34211
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coastal Mental Health & Wellness, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Coastal Mental Health & Wellness, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Victoria Charland, L.C.S.W.
Clinical Social Worker
NPI 1487062626
11705 EVENING WALK DR
Lakewood Ranch, FL 34211
(941) 423-2728
✔ PECOSSame address
Cheryl Lamb, LCSW
Clinical Social Worker
NPI 1306254073
7230 UNIVERSITY PKWY
Sarasota, FL 34240
(941) 423-2728
✔ PECOS4.1 mi
Jennifer Kennedy, LCSW
Clinical Social Worker
NPI 1497402390
5515 1ST AVE E APT 208
Bradenton, FL 34208
(815) 343-6791
✔ PECOS5.7 mi
Melissa Sevigny
Clinical Social Worker
NPI 1497338230
12503 EVINGTON POINT DR
Riverview, FL 33579
(813) 504-6833
✔ PECOS✔ Accepts Medicare27 mi
Tanya Hendry, LCSW
Clinical Social Worker
NPI 1417316845
5027 96TH TER N
Pinellas Park, FL 33782
(570) 401-8020
✔ PECOS33 mi
Kristin Jones, LCSW
Clinical Social Worker
NPI 1942565155
1620 TAMIAMI TRL STE 216
Port Charlotte, FL 33948
(941) 255-0405
✔ PECOS✔ Accepts Medicare34 mi
Rachel Westphal
Clinical Social Worker
NPI 1629846316
220 W BRANDON BLVD STE 203
Brandon, FL 33511
(813) 501-5260
✔ PECOS35 mi
Courtney Crowley
Clinical Social Worker
NPI 1639791213
600 LAKE HOLLINGSWORTH DR
Lakeland, FL 33803
(863) 665-7300
✔ PECOS✔ Accepts Medicare50 mi
Danielle West, LCSW
Clinical Social Worker
NPI 1295329738
2900 N MILITARY TRL STE 241
Boca Raton, FL 33431
(561) 678-0661
✔ PECOS160 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Coastal Mental Health & Wellness, LLC's NPI number?

The NPI number for Coastal Mental Health & Wellness, LLC is 1679082978. It was assigned to this organization in the NPPES registry on September 29, 2017.

Where is Coastal Mental Health & Wellness, LLC located?

Coastal Mental Health & Wellness, LLC is located at 11705 Evening Walk Drive, Lakewood Ranch, FL 34211. The listed phone number is (941) 928-9774.

What is Coastal Mental Health & Wellness, LLC's specialty?

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

Is Coastal Mental Health & Wellness, LLC enrolled in Medicare?

Yes. Coastal Mental Health & Wellness, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Mental Health & Wellness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Coastal Mental Health & Wellness, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Coastal Mental Health & Wellness, LLC was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.