Provider Demographics
NPI:1780470849
Name:COON, LONA ERIN RAE (MSW, LGSW)
Entity type:Individual
Prefix:
First Name:LONA
Middle Name:ERIN RAE
Last Name:COON
Suffix:
Gender:
Credentials:MSW, LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 DELRAY DR
Mailing Address - Street 2:
Mailing Address - City:SAINT ALBANS
Mailing Address - State:WV
Mailing Address - Zip Code:25177-3503
Mailing Address - Country:US
Mailing Address - Phone:304-356-6289
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 178
Practice Address - Street 2:
Practice Address - City:HURRICANE
Practice Address - State:WV
Practice Address - Zip Code:25526-0178
Practice Address - Country:US
Practice Address - Phone:304-553-1055
Practice Address - Fax:304-397-4019
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVBP009453161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical