Active NPI
Kimberly Coleman, LCSW
- Clinical Social Worker
- Meridian, MS
National Provider Identifier
1629639232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C10480
- Practice address
- 1357 County Road 456
Meridian, MS 39301-7653 - Phone
- (412) 965-1374
- NPI assigned
- Jun 25, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C10480 | MS | Primary |
Addresses
Primary practice location
1357 County Road 456
Meridian, MS 39301-7653
Mailing address
1357 County Road 456
Meridian, MS 39301-7653
Phone (412) 965-1374
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C10480 | MS | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1629639232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1357 COUNTY ROAD 456",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393017653",
"telephone_number": "412-965-1374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1357 COUNTY ROAD 456",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393017653",
"telephone_number": "412-965-1374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "KIMBERLY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-25",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MS",
"license": "C10480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.