SALLY T COATES (LCSW) – Clinical Social Worker, NPI 1770538829

SALLY T COATES (LCSW) is a healthcare provider. based in Lubbock, Texas. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 24340 (TX). The NPI Number for SALLY T COATES (LCSW) is 1770538829

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
SALLY T COATES (LCSW)
NPI
1770538829
Phone
(806) 743-9355
Address
301 40TH ST
Enumeration Date
24 May 2006
Last Update Date
14 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8067439355
Graduation Year
1993 (33 years ago)
PAC ID
1254320518
Group Practice PAC ID
9537158886
Professional Enrollment ID
I20040511000846
Address ID
TX794042746LU301XXSTXX300

Contacts

Secure Messaging
Senior.House@direct.myteamcare.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

2,555 CLINICAL SOCIAL WORKER in TX

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Provider Addresses for SALLY T COATES (LCSW)

  • 301, 40th Street, Lubbock, Lubbock County, Texas, 79404, United States

    LUBBOCK, TX 794042746

    Phone: (806) 743-9355

    Fax: (806) 743-9363

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-05-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040511000846IClinical Social WorkerTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79404)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537158886View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Mental Health CounselorTX
P S Y C H I A T R YTX
Mental Health CounselorTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What NPI should I save for SALLY T COATES (LCSW)?
Save NPI 1770538829 if you need a stable reference for SALLY T COATES (LCSW).
Does this profile mean SALLY T COATES (LCSW) is currently active?
Yes — SALLY T COATES (LCSW) appears active in the national provider directory.
Can you summarize SALLY T COATES (LCSW)'s specialty in plain language?
Clinically, the directory lists SALLY T COATES (LCSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where does public data place SALLY T COATES (LCSW)?
The snapshot lists Lubbock, Texas for SALLY T COATES (LCSW); download NPPES for the complete set.
What if Lubbock, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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