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COASTAL INNOVATIVE COUNSELING SOLUTIONS LLC NPI 1124559471


NPI Information

NPI: 1124559471
Provider Name: COASTAL INNOVATIVE COUNSELING SOLUTIONS, LLC

Former Legal Business Name: HELEN SCHANDOLPH

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
1 JOHNSTON ST
SUITE 6
SAVANNAH, GA
ZIP 31405
Phone: (912) 495-5600
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COASTAL INNOVATIVE COUNSELING SOLUTIONS, LLC is a clinical social worker in Savannah, GA. The provider is 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. COASTAL INNOVATIVE COUNSELING SOLUTIONS, LLC NPI is 1124559471. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Helen Schandolph.

The provider's business location address is:

1 JOHNSTON ST
SUITE 6
SAVANNAH, GA
ZIP 31405-531
Phone: (912) 495-5600
Fax: (855) 223-9969

The provider's authorized official is Helen D Schandolph .
The authorized official title is Ceo and has the following contact phone number (912) 713-6275.

The enumeration date for this NPI number is 3/27/2017 and was last updated on 3/27/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalCSW003068GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
180BBFTGMEDICARE UPINGEORGIA
2465197000OTHERMARYLANDMAGELLAN BEHAVIORAL HEALTH
3CSW003068OTHERGEORGIACLINICAL SOCIAL WORKER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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