Provider Demographics
NPI:1316179674
Name:COATE, SHARON GRAVETT (LISW-S)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:GRAVETT
Last Name:COATE
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 WOODSIDE PL
Mailing Address - Street 2:
Mailing Address - City:FORT THOMAS
Mailing Address - State:KY
Mailing Address - Zip Code:41075-1532
Mailing Address - Country:US
Mailing Address - Phone:513-293-8771
Mailing Address - Fax:
Practice Address - Street 1:146 WOODSIDE PL
Practice Address - Street 2:
Practice Address - City:FORT THOMAS
Practice Address - State:KY
Practice Address - Zip Code:41075-1532
Practice Address - Country:US
Practice Address - Phone:513-293-8771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-19
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS0031152104100000X
OHI. 10001161041C0700X
OHI.1000116.SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker