Active NPI
Moriah Ezra Coleman, LMSW
- Social Worker
- Baltimore, MD
National Provider Identifier
1003379900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 24376
- Practice address
- 1900 N Howard St Ste 300
Baltimore, MD 21218-5909 - Phone
- (443) 438-6742
- Fax
- (443) 773-5624
- NPI assigned
- Apr 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 24376 | MD | Primary |
Addresses
Primary practice location
1900 N Howard St Ste 300
Baltimore, MD 21218-5909
Mailing address
1900 N Howard St Ste 300
Baltimore, MD 21218-5909
Phone (443) 438-6742
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38-3876389 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24376 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554768000000",
"number": "1003379900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 N HOWARD ST STE 300",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212185909",
"telephone_number": "443-438-6742",
"fax_number": "443-773-5624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 N HOWARD ST STE 300",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212185909",
"telephone_number": "443-438-6742",
"fax_number": "443-773-5624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "MORIAH",
"middle_name": "EZRA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-09",
"last_updated": "2019-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "24376",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38-3876389",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.