Individual provider Active NPI

Bria Tamia Coleman, MSW, LCSWA

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1629843404
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P018646 Issued in NC
Practice address
2003 E NC Highway 54 Ste C
Durham, NC 27713-2483
Phone
(919) 682-5300
Fax
(919) 682-5322
NPI assigned
Nov 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P018646 NC Primary

Addresses

Primary practice location

2003 E NC Highway 54 Ste C
Durham, NC 27713-2483

Mailing address

2931 Springsweet LN Apt 24
Raleigh, NC 27612-7173
Phone (862) 766-7748

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

LicenseStateTypeSpecialty
P018646NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Upward Change Health Services PastSince Nov 26, 2023 Accepting new patients
Upward Change Health Services, LLC PastSince Nov 26, 2023 Accepting new patients

Organizations & group practices 2

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": "1700524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1629843404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2931 SPRINGSWEET LN APT 24",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276127173",
            "telephone_number": "862-766-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 E NC HIGHWAY 54 STE C",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132483",
            "telephone_number": "919-682-5300",
            "fax_number": "919-682-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "BRIA",
        "middle_name": "TAMIA",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P018646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

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

Verify at the official NPI Registry.