Andrea Elease Coleman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13741 Issued in CT

Practice address

365 Main St
Berlin, CT 06037-2665

Phone

(860) 248-6004

NPI assigned

Mar 28, 2024

Last updated

Mar 19, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1225889306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 PUTNAM BLVD # 1212",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331079",
            "telephone_number": "860-773-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 MAIN ST",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060372665",
            "telephone_number": "860-248-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "ANDREA",
        "middle_name": "ELEASE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "13741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Otis Chase, LCSW
• Daniel W Chin, M.D.
• Chiropractic Care Center of Berlin LLC
• Emma Jill Cohen, LPC
• Kelly Colegrove
• Celinez M Coons, PA-C
• Lori Cova, LMT
• Timothy M Crowley, ATC
• Brianna Crucitti, OTR/L
• Agata Dabek, PHARM.D.

• Clinical Social Worker in Berlin, CT
• Providers in Berlin, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.