Active NPI
Bernice Coleman, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1841336286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R0163531
- Practice address
- 5 West 86TH Street
Suite #1D
New York, NY 10024 - Phone
- (212) 262-0264
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R0163531 | NY | Primary |
Addresses
Primary practice location
5 West 86TH Street
Suite #1D
New York, NY 10024
Mailing address
380 Mountain Road
#1906
Union City, NJ 07087
Phone (201) 330-0521
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0163531 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841336286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 MOUNTAIN ROAD",
"address_2": "#1906",
"city": "UNION CITY",
"state": "NJ",
"postal_code": "07087",
"telephone_number": "201-330-0521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 WEST 86TH STREET",
"address_2": "SUITE #1D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10024",
"telephone_number": "212-262-0264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "BERNICE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R0163531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.