Individual provider Active NPI

Tierra Monique Cole

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1629831409
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC200004611 Issued in DC
Practice address
4130 Hunt PL NE
Washington, DC 20019-3565
Phone
(202) 388-4300
NPI assigned
Feb 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC200004611 DC Primary
Social Worker 104100000X 110710 TX

Addresses

Primary practice location

4130 Hunt PL NE
Washington, DC 20019-3565

Mailing address

4130 Hunt PL NE
Washington, DC 20019-3565
Phone (202) 388-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260112000197 MD Practitioner - Clinical Social Worker 1355827197 Reassigns benefits to 1 organization
I20260112000335 DC Practitioner - Clinical Social Worker 1355827197 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2225 Stream Vista PL
Waldorf, MD 20601-7303

7474 Greenway Ctr Dr
Suite 700a
Greenbelt, MD 20770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110710TXMDSocial Worker
LC200004611DCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Behavioral Health Services PC CurrentSince Dec 23, 2025 Accepting new patients
Lifespan Behavioral Health Services PC CurrentSince Dec 23, 2025 Accepting new patients
Lifespan Behavioral Health Services PC CurrentSince Dec 23, 2025 Accepting new patients
Mbi Health Services LLC CurrentSince Feb 4, 2026 Accepting new patients

Locations

4130 Hunt Pl NE
Washington, DC 20019
Phone (202) 388-4320

1003 W 7th St
Ste 200
Frederick, MD 21701
Phone (240) 651-6824

1003 W 7th St
Frederick, MD 21701
Phone (301) 682-2472

7474 Greenway Center Dr
Ste 700A
Greenbelt, MD 20770
Phone (301) 982-3437

3460 Olney Laytonsville Rd
Ste 212
Olney, MD 20832
Phone (301) 982-3437

101 E Chesapeake Ave
Ste 401
Towson, MD 21286
Phone (301) 982-3437

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1629831409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 HUNT PL NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200193565",
            "telephone_number": "202-388-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 HUNT PL NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200193565",
            "telephone_number": "202-388-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "TIERRA",
        "middle_name": "MONIQUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC200004611",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "110710",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.