Hannah Edith Collentine-Cole, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

95783 Issued in CA

Practice address

4175 Lakeside Drive
Richmond, CA 94806

Phone

(510) 262-6551

NPI assigned

May 27, 2015

Last updated

Oct 6, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Sacramento County Office of Education

  • Local Education Agency (LEA)
  • Mather, CA
  • NPI 1356901490
  NPD (past)

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1821477506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10474 MATHER BLVD",
            "city": "MATHER",
            "state": "CA",
            "postal_code": "956554116",
            "telephone_number": "916-599-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4175 LAKESIDE DRIVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "94806",
            "telephone_number": "510-262-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLENTINE-COLE",
        "first_name": "HANNAH",
        "middle_name": "EDITH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-27",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "95783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annabelle Cole, ACSW
• Damon Ricardo Cole Jr.
• Heather Coleman, PHD
• Zelda Marie Coleman
• Terrie Ann Coles, F.N.P.
• Candace Charity Collier
• Kathleen Collins
• Cathy Comeau
• William Comer, NURSE PRACTITIONER
• Community Health for Asian Americans

• Social Worker in Richmond, CA
• Providers in Richmond, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.