Provider Demographics
NPI:1376682864
Name:COKER, RAMELLE T (LISW-CP,AP)
Entity Type:Individual
Prefix:
First Name:RAMELLE
Middle Name:T
Last Name:COKER
Suffix:
Gender:F
Credentials:LISW-CP,AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 MEDICAL CT
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29150-4760
Mailing Address - Country:US
Mailing Address - Phone:803-773-2088
Mailing Address - Fax:803-773-7774
Practice Address - Street 1:5 MEDICAL CT
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-4760
Practice Address - Country:US
Practice Address - Phone:803-773-2088
Practice Address - Fax:803-773-7774
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical