Active NPI
Jabina Coleman, LSW, IBCLC
- Clinical Social Worker
- Philadelphia, PA
National Provider Identifier
1780123240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 5415 Catharine St
Philadelphia, PA 19143-2509 - Phone
- (215) 300-7609
- NPI assigned
- Feb 16, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
5415 Catharine St
Philadelphia, PA 19143-2509
Mailing address
5036 Locust St
Philadelphia, PA 19139-4235
Phone (215) 300-7609
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000000000 | Other | NOT APPLICABLE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675814400000",
"number": "1780123240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5036 LOCUST ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191394235",
"telephone_number": "215-300-7609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5415 CATHARINE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191432509",
"telephone_number": "215-300-7609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "JABINA",
"credential": "LSW, IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-16",
"last_updated": "2023-02-08",
"certification_date": "2023-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NOT APPLICABLE",
"identifier": "0000000000",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.