Martha E. Copley Coleman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1566 Issued in KY

Practice address

118 River Dr
Pikeville, KY 41501-1597

Phone

(606) 432-3143

Fax

(606) 437-5412

NPI assigned

Aug 19, 2006

Last updated

Oct 21, 2008By 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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KY

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, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountain Comprehensive Care Center IncGroup PAC ID 5294720553, 88 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mountain Comprehensive Care Center, Inc.

  • Mental Health Counselor
  • Prestonsburg, KY
  • NPI 1760491674
  Medicare reassignment Care Compare group NPD
• Mountain Comprehensive Care Center, Inc.

  dba Homeplace Clinic Louisa

  • Federally Qualified Health Center (FQHC)
  • Louisa, KY
  • NPI 1114426863
  NPD
• Mountain Comprehensive Care Center, Inc.

  dba Homeplace Clinic Mobile Unit

  • Federally Qualified Health Center (FQHC)
  • Paintsville, KY
  • NPI 1699386078
  NPD

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1487768990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S FRONT AVE",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416531614",
            "telephone_number": "606-886-8572",
            "fax_number": "606-886-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 RIVER DR",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011597",
            "telephone_number": "606-432-3143",
            "fax_number": "606-437-5412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPLEY COLEMAN",
        "first_name": "MARTHA",
        "middle_name": "E.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "1566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "800012730",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000202644",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7922571",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Destiny Conn, LCSW
• Dominac Jay Conn
• Rhonda Conway, R.N.
• Kimberly Cook, APRN
• Rebecca Cope, PHARMD
• Megan Larissa Copley Harris, D.O.
• William Cordero, M.D.
• Core Health Centers of Pikeville LLC
• Katherine Lynn Cornett, APRN
• Vernon Chris Cornett, BA

• Clinical Social Worker in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.