Joren Anthony Coleman, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

086394 Issued in NY

Practice address

427 Guy Park Avenue
SMH Adult Mental Health Clinic
Amsterdam, NY 12010

Phone

(518) 841-6824

Fax

(518) 841-7344

NPI assigned

Sep 6, 2013

Last updated

Sep 6, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378425600000",
    "number": "1932534146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 GUY PARK AVENUE",
            "address_2": "ST. MARY'S HEALTHCARE",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "12010",
            "telephone_number": "518-841-6824",
            "fax_number": "518-841-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 GUY PARK AVENUE",
            "address_2": "SMH ADULT MENTAL HEALTH CLINIC",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "12010",
            "telephone_number": "518-841-6824",
            "fax_number": "518-841-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "JOREN",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-06",
        "last_updated": "2013-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "086394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Amsterdam
• CJ Medi Cab Service LLC
• Jeffrey Downey Clark, PHARMD
• Heather Clear-Rossbach, LMSW
• Sharon V Cole
• Jeffrey Joseph Collins, PT, DPT
• Community Care Physicians, PC (Vascular Health Partners - Amsterdam)
• Daryle Scott Conlin
• Mary Ellen Connors, N.P.
• Briana L Croker, DPT

• Social Worker in Amsterdam, NY
• Providers in Amsterdam, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; 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.