Provider Demographics
NPI:1346205986
Name:COGGINS, LOUISE WEEKS (MSW LCSW BCP)
Entity Type:Individual
Prefix:MS
First Name:LOUISE
Middle Name:WEEKS
Last Name:COGGINS
Suffix:
Gender:F
Credentials:MSW LCSW BCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3809 COMPUTER DRIVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-6518
Mailing Address - Country:US
Mailing Address - Phone:919-782-6700
Mailing Address - Fax:919-782-2218
Practice Address - Street 1:3809 COMPUTER DRIVE
Practice Address - Street 2:SUITE 201
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-6518
Practice Address - Country:US
Practice Address - Phone:919-782-6700
Practice Address - Fax:919-782-2218
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0000091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2868891Medicare ID - Type Unspecified