Individual
ALYSSA COAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1315 FIDDLER AVE., MERRITT ISLAND, FL 32952-3295
(719) 373-7777
Mailing address
1315 FIDDLER AVE, MERRITT ISLAND, FL 32952-5736
(719) 373-9777
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
0904017212
VA
1041C0700X
Clinical Social Worker
130058
IA
1041C0700X
Clinical Social Worker
3571645
ID
1041C0700X
Clinical Social Worker
4857
FL
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
802-049-457
CFARS
FL
01
—
805-043-931
FARS
FL
Enumeration date
09/27/2018
Last updated
01/30/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us