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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PHYLLIS IDA COACHMAN LCSWR
NPI 1689764953
Social Worker - Clinical in Staten Island, NY

Active since October 14, 2006
30 SKY LN, STATEN ISLAND, NY 10304(718) 986-2522 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 24, 2026, May 8, 2024 (2 updates tracked since 2024).

About Phyllis Ida Coachman Lcswr NPPES

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

PHYLLIS IDA COACHMAN LCSWR (NPI 1689764953) is an individual clinical provider in Staten Island, New York, licensed in New York (R045079-1) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1689764953
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NamePHYLLIS IDA COACHMANCredential: LCSWR
Location Address30 SKY LNStaten Island, NY 10304-4656
Mailing Address30 Sky LnStaten Island, NY 10304-4656 · (718) 442-3072
Phone(718) 986-2522
Sole ProprietorYes
Enumeration DateOctober 14, 2006
Last NPPES UpdateSeptember 24, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2026
✔ NPI 1689764953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · R045079-1
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License R045079-1 (NY)
30 SKY LN, Staten Island, NY 10304
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Other Identifiers 4

OtherN3L821NY · Empire Blue Cross Blue Sh
Medicaid01917757NY
Other162839PNY · Hip
OtherP2836968NY · Oxford

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES

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

NO SHAME COUNSELING & CONSULTING SERVICES LLC
Counselor (Mental Health)
30 SKY LN
STATEN ISLAND, NY 10304
Richmond County (718) 986-2522

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 Phyllis Coachman's NPI number?

The NPI number for Phyllis Coachman is 1689764953. It was assigned to this individual provider in the NPPES registry on October 14, 2006.

Where is Phyllis Coachman located?

Phyllis Coachman practices at 30 Sky Ln, Staten Island, NY 10304. The listed phone number is (718) 986-2522.

What is Phyllis Coachman's specialty?

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

What insurance does Phyllis Coachman accept?

Health plans from Providence Health Plan list Phyllis Coachman 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 Phyllis Coachman was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.