Individual provider Active NPI

Chaquena Denise Coleman, SUPERVISEE IN SW

  • Clinical Social Worker
  • North Chesterfield, VA
National Provider Identifier
1962184044
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904019879 Issued in VA
Practice address
5813 Gloryvine CT Apt 204-11
North Chesterfield, VA 23234-6952
Phone
(804) 972-2684
NPI assigned
Aug 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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 0904019879 VA Primary

Addresses

Primary practice location

5813 Gloryvine CT Apt 204-11
North Chesterfield, VA 23234-6952

Mailing address

5813 Gloryvine CT Apt 204-11
North Chesterfield, VA 23234-6952
Phone (804) 972-2684

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

LicenseStateTypeSpecialty
0904019879VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1962184044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5813 GLORYVINE CT APT 204-11",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232346952",
            "telephone_number": "804-972-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5813 GLORYVINE CT APT 204-11",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232346952",
            "telephone_number": "804-972-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "CHAQUENA",
        "middle_name": "DENISE",
        "credential": "SUPERVISEE IN SW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904019879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; 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.