Individual provider Active NPI

Lisa Coleman, CDW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1992116297
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
255270 Issued in KY
Practice address
411 E Chestnut St # 6
Louisville, KY 40202-1713
Phone
(502) 588-3650
Fax
(502) 588-7852
NPI assigned
May 8, 2014
Last updated
Feb 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X KY6961 KY
Clinical Social Worker 1041C0700X 255270 KY Primary

Addresses

Primary practice location

411 E Chestnut St # 6
Louisville, KY 40202-1713

Mailing address

PO Box 776879
Chicago, IL 60677-6879
Phone (502) 588-9490

Other practice location 1

4010 DuPont Cir
Suite #582
Louisville, KY 40207-4812
Phone (502) 599-8688

Other identifiers 1

IdentifierTypeStateIssuer
29102357MedicaidKY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lisa.coleman2@nortonhealthcare.org
Direct Messaging Address lcoleman233738@direct.nortonhealthcare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220518002246 KY Practitioner - Clinical Social Worker 2264819945 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
KY6961KYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children's Medical Group, LLC Clinical CurrentSince May 1, 2025 Accepting new patients
Norton Children's Medical Group, LLC Social Worker Current Accepting new patients

Locations

411 E Chestnut St
#6
Louisville, KY 40202
Phone (502) 588-9587

1000 Breckenridge St
Ste 301
Owensboro, KY 42303
Phone (270) 852-8894

Interoperability endpoints

  • Direct secure messaging: lcoleman233738@direct.nortonhealthcare.org

Organizations & group practices 2

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": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1992116297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776879",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776879",
            "telephone_number": "502-588-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E CHESTNUT ST # 6",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021713",
            "telephone_number": "502-588-3650",
            "fax_number": "502-588-7852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4010 DuPont Cir",
            "address_2": "Suite #582",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074812",
            "country_code": "US",
            "telephone_number": "502-599-8688",
            "fax_number": "502-899-5411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "CDW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-08",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "KY6961",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "255270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29102357",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisa.coleman2@nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "411 E Chestnut St # 6",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lcoleman233738@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "411 E Chestnut St # 6",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.