Organization Active NPI

Lora Coleman, LCSW, PA

  • Clinical Social Worker
  • Cutler Bay, FL
National Provider Identifier
1609160191
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW7978 Issued in FL
Legal business name
LORA COLEMAN, LCSW, PA
Practice address
10700 Caribbean Blvd Ste 203
Cutler Bay, FL 33189-1224
Phone
(305) 298-6561
Fax
(305) 969-1293
NPI assigned
Jun 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Authorized official

Name
Dr. Lora A Coleman, LCSW, DNH
Title
Owner
Phone
(305) 298-6561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW7978 FL Primary

Addresses

Primary practice location

10700 Caribbean Blvd Ste 203
Cutler Bay, FL 33189-1224

Mailing address

20230 SW 105TH Ave
Cutler Bay, FL 33189-1313
Phone (305) 298-6561

Other practice location 1

810 E University Ave Ste B
Gainesville, FL 32601-5507
Phone (305) 298-6561

Other identifiers 1

IdentifierTypeStateIssuer
000031800MedicaidFL

National Provider Directory

National Provider Directory

Locations

10700 Caribbean Blvd
Ste 203
Cutler Bay, FL 33189
Phone (305) 298-6561

810 E University Ave
Ste B
Gainesville, FL 32601
Phone (305) 298-6561

14707 S Dixie Hwy
Ste 108
Miami, FL 33176

9225 SW 158th Ln
Ste A
Miami, FL 33157
Phone (305) 229-8656

NPI Registry JSON

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1609160191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20230 SW 105TH AVE",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331891313",
            "telephone_number": "305-298-6561",
            "fax_number": "786-293-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 CARIBBEAN BLVD STE 203",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331891224",
            "telephone_number": "305-298-6561",
            "fax_number": "305-969-1293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 E University Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326015507",
            "country_code": "US",
            "telephone_number": "305-298-6561",
            "fax_number": "305-969-1293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LORA COLEMAN, LCSW, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-02",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "LORA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-298-6561",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW, DNH"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000031800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.