Individual provider Active NPI

Joseph Coleman II, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1134213945
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27879 Issued in TX
Practice address
1504 Taub Loop
Houston, TX 77030-1608
Phone
(713) 566-6711
Fax
(713) 440-1200
NPI assigned
Oct 3, 2006
Last updated
Aug 11, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 27879 TX Primary

Addresses

Primary practice location

1504 Taub Loop
Houston, TX 77030-1608

Mailing address

5503 Willowpeak CT
Room 200
Rosharon, TX 77583-2153
Phone (281) 513-6628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040722001311 TX Practitioner - Clinical Social Worker 0244210946 Reassigns benefits to 4 organizations
Practice locations: Baytown, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Airline Medical Center and Diagnostics,PLLCGroup PAC ID 6608007703, 3 clinicians

Practice addresses (Care Compare)

Houston, TX 77016
Phone (832) 870-7188

1906 Treble Dr
Suite 10
Humble, TX 77338-5885
Phone 71369177354

8300 Homestead Rd
Suite 4
Houston, TX 77028-2149
Phone (281) 846-6542

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27879TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kept Wishes Wellness Center LLC CurrentSince Feb 4, 2025 Accepting new patients
Complete Plus Healthcare Inc CurrentSince May 2, 2023 Accepting new patients
Aspen Health Staffing LLC CurrentSince Nov 4, 2024 Accepting new patients
P & M Healthcare Inc CurrentSince Aug 5, 2024 Accepting new patients
Nature Green Leaf CurrentSince Nov 4, 2024 Accepting new patients
Restoration Odyssey Inc Past Accepting new patients
Harris County Hospital District Past Accepting new patients

Locations

14114 Hiram Clarke Rd
Ste F
Houston, TX 77045
Phone (713) 429-2485

8300 Homestead Rd
Ste 4
Houston, TX 77028
Phone (281) 846-6542

3129 Kingsley Dr
Ste 2030
Pearland, TX 77584
Phone (281) 617-7438

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1134213945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5503 WILLOWPEAK CT",
            "address_2": "ROOM 200",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "775832153",
            "telephone_number": "281-513-6628",
            "fax_number": "713-440-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 TAUB LOOP",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301608",
            "telephone_number": "713-566-6711",
            "fax_number": "713-440-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "JOSEPH",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "27879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.