Jacqueline Sue Colunga, LCSW

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

SW8486 Issued in FL

Practice address

5128 27TH Ave S
Gulfport, FL 33707-5414

Phone

(727) 327-9046

NPI assigned

Dec 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790846616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5128 27TH AVE S",
            "city": "GULFPORT",
            "state": "FL",
            "postal_code": "337075414",
            "telephone_number": "727-327-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5128 27TH AVE S",
            "city": "GULFPORT",
            "state": "FL",
            "postal_code": "337075414",
            "telephone_number": "727-327-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLUNGA",
        "first_name": "JACQUELINE",
        "middle_name": "SUE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "SW8486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Caswell, A.P.
• Center for Human Potential, P.a.
• Mathew P Cherian
• Nicholas Robert Chiappone, PMHNP-BC
• Harriet Cohen
• Maria Culp
• Demekisa Sidamo Davis, D.O.M.
• Ife Davis, SPECIALIST
• Douglas Aaron Day, DC
• Brittany N Dillard, OT/L

• Case Manager/Care Coordinator in Gulfport, FL
• Providers in Gulfport, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.