Theresa Grace Cole, LCSW, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

937 Issued in LA

Practice address

1412 Peterman Dr
Suite a
Alexandria, LA 71301-3432

Phone

(318) 787-6805

Fax

(318) 787-6818

NPI assigned

Jan 22, 2007

Last updated

Mar 26, 2012By 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)

Enrolled

State licenses

Practice roles

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.

• Cenla Professional Counseling

  • Clinical Social Worker
  • Alexandria, LA
  • NPI 1306103981
  Authorized official Same address or phone
• Department of Health and Hospitals

  dba St Mary Treatment Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Morgan City, LA
  • NPI 1508910472
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332720000000",
    "number": "1568515435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5802 CARL ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713012802",
            "telephone_number": "318-787-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 PETERMAN DR",
            "address_2": "SUITE A",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013432",
            "telephone_number": "318-787-6805",
            "fax_number": "318-787-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "THERESA",
        "middle_name": "GRACE",
        "name_prefix": "Ms.",
        "credential": "LCSW, ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2012-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Leigh Cole, NP
• Elizabeth A Cole, CRNA
• Lindsey Cole
• Nichole Cole
• Philip A Cole II, MD
• Christopher Coleman
• Kalisa Coleman, LPN
• Keila Coleman, MHS
• Lauren Gay Coleman, LCSW
• Sharon Coleman, NP

• Clinical Social Worker in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; 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.