Rebecca Lois Coleman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

29520 Issued in TX

Practice address

1300 W Lynn St
Suite 208
Austin, TX 78703-3978

Phone

(512) 322-9697

Fax

(512) 322-9697

NPI assigned

Aug 18, 2009

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

Other names 1

• Rebecca Lois Shaw Former name

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

Specialty

Clinical Social Worker

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1376775783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W LYNN ST",
            "address_2": "SUITE 208",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787033978",
            "telephone_number": "512-322-9697",
            "fax_number": "512-322-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W LYNN ST",
            "address_2": "SUITE 208",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787033978",
            "telephone_number": "512-322-9697",
            "fax_number": "512-322-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "REBECCA",
        "middle_name": "LOIS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-18",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "29520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "SHAW",
            "middle_name": "LOIS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kindra Danielle Coleman, M.ED, BCBA, LBA
• Kwesi E Coleman, DPT, LMT
• Latrice Renee Coleman
• Martin Coleman
• Miranda Grace Coleman
• Leonora M Colen, LICENSED MIDWIFE
• Suzanne Coles
• Mary Jordan Coley, FNP
• Veronica Leslie Coley
• Collab Pediatric Therapies LLC

• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.