Active NPI
Chauntee S Coleman, DSW
- Social Worker
- Los Angeles, CA
National Provider Identifier
1134426414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 11621
- Practice address
- 5715 S Broadway
Los Angeles, CA 90037-4131 - Phone
- (323) 948-0444
- NPI assigned
- Feb 22, 2011
- 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 | 11621 | PR | Primary |
Addresses
Primary practice location
5715 S Broadway
Los Angeles, CA 90037-4131
Mailing address
5014 W 58TH PL Apt 413
Los Angeles, CA 90056-1637
Phone (424) 213-0057
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 |
|---|---|---|---|
| 11621 | PR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661299200000",
"number": "1134426414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5014 W 58TH PL APT 413",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900561637",
"telephone_number": "424-213-0057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5715 S BROADWAY",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900374131",
"telephone_number": "323-948-0444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "CHAUNTEE",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-22",
"last_updated": "2022-08-24",
"certification_date": "2022-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PR",
"license": "11621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.