Alisha Coleman, LMSW

Individual provider Active NPI Clinical Social Worker · Waterford, MI

NPI 1710244918 · NPPES record last updated Mar 27, 2014

Key facts

NPI
1710244918
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
6801088490 (MI)
Practice address
279 Summit Dr
Waterford, MI 48328-3364
Phone
(248) 409-4179
NPI assigned
Apr 12, 2012
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Alisha Coleman Clinical Current
since Sep 27, 2020
Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients

Locations

24801 5 Mile Rd
Ste 9
Redford, MI 48239
Phone (248) 820-4746

Interoperability endpoints

  • Direct secure messaging: alishacoleman@tdh.allscriptsdirect.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801088490 MI Yes

Addresses

Primary practice location

279 Summit Dr
Waterford, MI 48328-3364

Mailing address

26375 Halsted Rd Apt 157
Farmington Hills, MI 48331-3766

Other providers in Waterford, MI

All providers in Waterford, MI · Clinical Social Worker in Michigan

Sources for this page

Verify at the official NPI Registry.