Carmen Bonita McCoy, LCSW
NPI 1104009000ActiveIndividual· Social Worker, Clinical· Michigan City, IN
Social Worker, Clinical (LCSW) with Laporte County Comprehensive Mental Health Council, practicing in Michigan City, Indiana. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1104009000 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Dec 13, 2007 |
| Last updated in NPPES | Oct 30, 2020 |
| Certified by provider | Oct 30, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 34003386A | IN |
| Social Worker | 104100000X | LSW0000004647 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (IN) |
|---|
Education and affiliations
| Graduation year | 1984 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Laporte County Comprehensive Mental Health CouncilMichigan City, IN · 19 clinicians
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All 41 clinical social workers in Michigan City · All clinical social workers in Indiana