Individual provider Active NPI

Quinstar Valiant Coleman

  • Clinical Social Worker
  • Midland, GA
National Provider Identifier
1992677090
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW007532 Issued in GA
Practice address
PO Box 124
Midland, GA 31820-0124
Phone
(336) 207-7776
NPI assigned
Sep 19, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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 CSW007532 GA Primary

Addresses

Primary practice location

PO Box 124
Midland, GA 31820-0124

Mailing address

PO Box 124
Midland, GA 31820-0124
Phone (336) 207-7776

Other practice location 1

9419 Midland Woods Dr
Midland, GA 31820-7202
Phone (336) 207-7776

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
CSW007532GAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1992677090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 124",
            "city": "MIDLAND",
            "state": "GA",
            "postal_code": "318200124",
            "telephone_number": "336-207-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 124",
            "city": "MIDLAND",
            "state": "GA",
            "postal_code": "318200124",
            "telephone_number": "336-207-7776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9419 Midland Woods Dr",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "GA",
            "postal_code": "318207202",
            "country_code": "US",
            "telephone_number": "336-207-7776",
            "fax_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "QUINSTAR",
        "middle_name": "VALIANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.