Individual provider Active NPI

Lora A Coleman, LCSW

  • Clinical Social Worker
  • Cutler Bay, FL
National Provider Identifier
1942332341
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW7978 Issued in FL
Practice address
10700 Caribbean Blvd
Cutler Bay, FL 33189-1232
Phone
(305) 298-6561
NPI assigned
Mar 12, 2007
Last updated
Jan 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW7978 FL Primary

Addresses

Primary practice location

10700 Caribbean Blvd
Cutler Bay, FL 33189-1232

Mailing address

20230 SW 105TH Ave
Cutler Bay, FL 33189-1313
Phone (305) 298-6561

Other practice location 1

810 E University Ave Ste B
Gainesville, FL 32601
Phone (305) 298-6561

Other identifiers 1

IdentifierTypeStateIssuer
000031800MedicaidFL

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)
Enrolled

Organizations & group practices 1

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1942332341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20230 SW 105TH AVE",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331891313",
            "telephone_number": "305-298-6561",
            "fax_number": "305-969-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 CARIBBEAN BLVD",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331891232",
            "telephone_number": "305-298-6561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 E University Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "32601",
            "country_code": "US",
            "telephone_number": "305-298-6561",
            "fax_number": "305-969-1293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "LORA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000031800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.