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EBONE COAKLEY LCSW
NPI 1992174817
Social Worker - Clinical in Lawrenceville, GA

Active since September 22, 2015PECOS EnrolledAccepts Medicare Assignment
1840 OLD NORCROSS RD, SUITE 200, LAWRENCEVILLE, GA 30044(770) 355-6073(770) 913-8027 Get Directions Write a Review

NPPES record last updated: August 31, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 31, 2016, Nov 9, 2015 (2 updates tracked since 2015).

About Ebone Coakley Lcsw NPPES

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

EBONE COAKLEY LCSW (NPI 1992174817) is an individual clinical provider in Lawrenceville, Georgia, licensed in Georgia (CSW004856) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1992174817
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameEBONE COAKLEYCredential: LCSW
Location Address1840 OLD NORCROSS RD, SUITE 200Lawrenceville, GA 30044-8803
Mailing Address519 Harmonyview CtLoganville, GA 30052-6233 · (770) 355-6073 · Fax (770) 913-8027
Phone(770) 355-6073
Fax(770) 913-8027
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 22, 2015
Last NPPES UpdateAugust 31, 20162 updates tracked since enumeration
✔ NPI 1992174817 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 GA · CSW004856
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.
1840 OLD NORCROSS RD, Lawrenceville, GA 30044
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Other Identifiers 2

Medicaid003168454BGA
Medicare PIN202I809692GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Ebone Coakley 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 ID3678877990
PECOS Enrollment IDI20160208001119
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 30044 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 $56.84 – $172.43
Typical copayment $0.00 (range $14.21 – $43.10)
Most-billed visit code NA
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

Other Providers at the Same Location NPPES

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

ILLUMINATION COUNSELING AND COACHING, LLC
Counselor (Professional)
1840 OLD NORCROSS RD, 300
LAWRENCEVILLE, GA 30044
Gwinnett County (678) 585-1966

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 Ebone Coakley's NPI number?

The NPI number for Ebone Coakley is 1992174817. It was assigned to this individual provider in the NPPES registry on September 22, 2015.

Where is Ebone Coakley located?

Ebone Coakley practices at 1840 Old Norcross Rd Suite 200, Lawrenceville, GA 30044. The listed phone number is (770) 355-6073.

What is Ebone Coakley's specialty?

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

Is Ebone Coakley enrolled in Medicare?

Yes. Ebone Coakley 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 Ebone Coakley accept?

Health plans from Blue Cross and Blue Shield of NC list Ebone Coakley 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 Ebone Coakley was last updated on August 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.