Lance Montez Coleman-Wilson, MSS, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

406 Dalmas Ave
Glenolden, PA 19036-2004

Phone

(484) 474-0711

NPI assigned

Aug 18, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lance Montez Wilson Professional name

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, PA

  Medicare reassignment NPD

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1215814751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 DALMAS AVE",
            "city": "GLENOLDEN",
            "state": "PA",
            "postal_code": "190362004",
            "telephone_number": "484-474-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 DALMAS AVE",
            "city": "GLENOLDEN",
            "state": "PA",
            "postal_code": "190362004",
            "telephone_number": "484-474-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN-WILSON",
        "first_name": "LANCE",
        "middle_name": "MONTEZ",
        "credential": "MSS, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LANCE",
            "last_name": "WILSON",
            "middle_name": "MONTEZ",
            "credential": "MSS, LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Stephanie Anne Cirone, DC
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• Josette Clark
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• Marie Conte, PHARM.D.
• Andrea Cook
• Deborah David
• Jessica Michelle Davidson, D.C.

• Clinical Social Worker in Glenolden, PA
• Providers in Glenolden, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.