Individual provider Active NPI

Carol Coleman, LCSW

  • Clinical Social Worker
  • Union, NJ
National Provider Identifier
1790191930
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06051200 Issued in NJ
Practice address
2333 Morris Ave Ste C206
Union, NJ 07083-5739
Phone
(908) 291-2727
NPI assigned
Jul 9, 2014
Last updated
Jul 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL05865500 NJ
Clinical Social Worker 1041C0700X 44SC06051200 NJ Primary

Addresses

Primary practice location

2333 Morris Ave Ste C206
Union, NJ 07083-5739

Mailing address

2333 Morris Ave Ste C206
Union, NJ 07083-5739
Phone (908) 291-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20250410001631 NJ Practitioner - Clinical Social Worker 5395269492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jersey Behavioral Care LLCGroup PAC ID 4183992142, 11 clinicians

Practice addresses (Care Compare)

2333 Morris Ave
Suite C206
Union, NJ 07083-5739
Phone (908) 291-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL05865500NJMDSocial Worker
44SC06051200NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Behavioral Care LLC CurrentSince Mar 26, 2025 Accepting new patients
Jersey Behavioral Care LLC CurrentSince Mar 26, 2025 Accepting new patients

Locations

220 Davidson Ave
Ste 306
Somerset, NJ 08873
Phone (732) 997-0707

2333 Morris Ave
Ste C206
Union, NJ 07083
Phone (908) 291-2727

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1790191930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 MORRIS AVE STE C206",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835739",
            "telephone_number": "908-291-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 MORRIS AVE STE C206",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835739",
            "telephone_number": "908-291-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "CAROL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05865500",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06051200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

Verify at the official NPI Registry.