Active NPI
Joymara Coleman
- Social Worker
- Concord, CA
National Provider Identifier
1124536172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 2702 Clayton Rd Ste 207
Concord, CA 94519-2747 - Phone
- (415) 857-0852
- Fax
- (925) 731-3119
- NPI assigned
- Jan 11, 2018
- 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 | Primary |
Addresses
Primary practice location
2702 Clayton Rd Ste 207
Concord, CA 94519-2747
Mailing address
426 17TH St Ste 100
Oakland, CA 94612-2814
Phone (415) 857-0852
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Place for Youth | Past | Accepting new patients | |
| First Place for Youth | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Oakland, CA
- NPI 1568998789
-
- Community/Behavioral Health Agency
- Concord, CA
- NPI 1720437924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515628800000",
"number": "1124536172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "426 17TH ST STE 100",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946122814",
"telephone_number": "415-857-0852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2702 CLAYTON RD STE 207",
"city": "CONCORD",
"state": "CA",
"postal_code": "945192747",
"telephone_number": "415-857-0852",
"fax_number": "925-731-3119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "JOYMARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-11",
"last_updated": "2018-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.