Derrell Coakley Sr, is a
Social Worker based in Conyers, Georgia. Derrell Coakley Sr is licensed to practice in * (Not Available) (license number ) and his current practice location is
1315 Milstead Rd Ne, Conyers, Georgia. He can be reached at his office (for appointments etc.) via phone at
(443) 225-1210.
NPI number for Derrell Coakley Sr is 1861259772 and his current mailing address is 1315 Milstead Rd Ne, Conyers, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861259772.
Healthcare Provider's Profile
| Full Name | Derrell Coakley Sr |
|---|
| Gender | Male |
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| Speciality | Social Worker |
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| Location | 1315 Milstead Rd Ne, Conyers, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1861259772
- Provider Enumeration Date: 03/06/2024
- Last Update Date: 03/06/2024
Medical Identifiers
Medical identifiers for Derrell Coakley Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861259772 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Derrell Coakley Sr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Derrell Coakley Sr,
1315 Milstead Rd Ne,
Conyers, GA 30012-3824
Ph: (443) 225-1210 | Derrell Coakley Sr,
1315 Milstead Rd Ne,
Conyers, GA 30012-3824
Ph: (443) 225-1210 |
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