Active NPI
Tia Coles, LLMSW
- Social Worker
- Flint, MI
National Provider Identifier
1104347517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1110 Eldon Baker Dr
Flint, MI 48507-1923 - Phone
- (810) 213-1803
- Fax
- (810) 744-1306
- NPI assigned
- Jul 6, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
1110 Eldon Baker Dr
Flint, MI 48507-1923
Mailing address
1943 Carmanbrook Pkwy
Flint, MI 48507-1445
Phone (810) 874-1608
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503964800000",
"number": "1104347517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1943 CARMANBROOK PKWY",
"city": "FLINT",
"state": "MI",
"postal_code": "485071445",
"telephone_number": "810-874-1608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 ELDON BAKER DR",
"city": "FLINT",
"state": "MI",
"postal_code": "485071923",
"telephone_number": "810-213-1803",
"fax_number": "810-744-1306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLES",
"first_name": "TIA",
"credential": "LLMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-06",
"last_updated": "2017-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.