Individual provider Active NPI

Michelle Coleman, LCSW

  • Clinical Social Worker
  • Pottsville, PA
National Provider Identifier
1770934333
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW018539 Issued in PA
Practice address
396 S Centre St
3Rd Floor
Pottsville, PA 17901-3596
Phone
(570) 640-3744
NPI assigned
Jun 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

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 CW018539 PA Primary

Addresses

Primary practice location

396 S Centre St
3Rd Floor
Pottsville, PA 17901-3596

Mailing address

246 East Ave
Mount Carmel, PA 17851-1514
Phone (570) 205-8201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20170518000184 PA Practitioner - Clinical Social Worker 5092082289 Reassigns benefits to 3 organizations
Practice locations: Pottsville, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Supportive Care of Pennsylvania LLCGroup PAC ID 0143521211, 91 clinicians
Clinical Social Worker Associates IncGroup PAC ID 8325336399, 6 clinicians

Practice addresses (Care Compare)

2109 Red Lion Rd
Philadelphia, PA 19115-1711
Phone (718) 298-4375

396 S Centre St
Suite 3
Pottsville, PA 17901-3597
Phone (570) 640-3744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW018539PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince May 22, 2019 Accepting new patients
Supportive Care of Pennsylvania LLC CurrentSince May 1, 2024 Accepting new patients
Geisinger Clinic CurrentSince May 22, 2019 Accepting new patients
Insight Counseling CurrentSince Apr 17, 2017 Accepting new patients
Clinical Social Worker Associates, Inc. Clinical CurrentSince Feb 6, 2023 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

100 N Academy Ave
Danville, PA 17822

2109 Red Lion Rd
Philadelphia, PA 19115
Phone (215) 213-7000

396 S Centre St
Ste 3
Pottsville, PA 17901
Phone (570) 573-0247

201 Roosevelt Ave
Selinsgrove, PA 17870
Phone (570) 372-8803

Organizations & group practices 6

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": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1770934333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 EAST AVE",
            "city": "MOUNT CARMEL",
            "state": "PA",
            "postal_code": "178511514",
            "telephone_number": "570-205-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 S CENTRE ST",
            "address_2": "3RD FLOOR",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013596",
            "telephone_number": "570-640-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

Verify at the official NPI Registry.