Josephine C Coleman, LCSW, MAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

003091 Issued in GA

Practice address

150 Butler St.
Suite D-3
Midway, GA 31320-6923

Phone

(912) 442-0558

Fax

(912) 442-0563

NPI assigned

Dec 1, 2006

Last updated

Jan 9, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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 1

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Coastal Family Counseling, LLC

  • Clinical Social Worker
  • Midway, GA
  • NPI 1013346816
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389225600000",
    "number": "1669540548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 OAK ISLAND DR",
            "city": "MIDWAY",
            "state": "GA",
            "postal_code": "313206923",
            "telephone_number": "912-442-0558",
            "fax_number": "912-442-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BUTLER ST.",
            "address_2": "SUITE D-3",
            "city": "MIDWAY",
            "state": "GA",
            "postal_code": "313206923",
            "telephone_number": "912-442-0558",
            "fax_number": "912-442-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "JOSEPHINE",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "LCSW, MAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2014-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003091",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1601C",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "507149",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "003091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Arnette Charlton Brown
• Coastal Drug Company LLC (Coastal Drug Company)
• Coastal Drug Company, LLC. (Coastal Drug Company LTC)
• Coastal Family Counseling, LLC
• Coastal Healthcare LLC (Coastal Healthcare)
• Julia E Coleman
• Charity I Floyd, BCBA
• Theron Glenn Fox Jr.
• Gail Franklin
• Gifted Creation Restoration Hair Loss Clinic

• Clinical Social Worker in Midway, GA
• Providers in Midway, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.