Tracey L Coleman

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150112716 Issued in IL

Practice address

450 E 22ND St
Lombard, IL 60148-6113

Phone

(630) 474-3900

Fax

(630) 474-3903

NPI assigned

Jan 26, 2009

Last updated

Jan 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Madrigal Consulting and Counseling LLP

  • Clinical Social Worker
  • Lombard, IL
  • NPI 1649780016
  NPD

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1144468364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E 22ND ST STE 158",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486175",
            "telephone_number": "630-474-3900",
            "fax_number": "630-474-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E 22ND ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486113",
            "telephone_number": "630-474-3900",
            "fax_number": "630-474-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "TRACEY",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-26",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150112716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia A Coe, D.C.
• Daniel F Coffey, DC BABCO ACRB
• Ezra Cohen, D.C.
• Danielle M Cole
• Audrey L Coleman, PT
• Michael T Colletti, D.D.S.
• Vincent Colletti
• Brandon Elias John Collins, LSW
• Eileen M. Collins, M.D.
• Matthew D Collins

• Social Worker in Lombard, IL
• Providers in Lombard, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.