Provider Demographics
NPI:1417747700
Name:COKER, MARKEDA L (MSW,LSW)
Entity type:Individual
Prefix:
First Name:MARKEDA
Middle Name:L
Last Name:COKER
Suffix:
Gender:
Credentials:MSW,LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2959 IRONSTONE DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-8811
Mailing Address - Country:US
Mailing Address - Phone:513-885-3824
Mailing Address - Fax:216-223-8938
Practice Address - Street 1:27801 EUCLID AVE STE 600
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44132-3548
Practice Address - Country:US
Practice Address - Phone:216-562-9960
Practice Address - Fax:216-223-8938
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251S00000X
OHS.25119541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No251S00000XAgenciesCommunity/Behavioral Health