JESSYCA RENAE COLEMAN
NPI 1023750221
Social Worker in Enterprise, AL

Q: What is Jessyca Coleman's NPI number?

The NPI number for Jessyca Coleman is 1023750221. It was assigned to this individual provider in the NPPES registry on April 8, 2022.

Q: What is Jessyca Coleman's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Jessyca Coleman was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 08, 2022PECOS Enrolled

557 GLOVER AVE STE 3, ENTERPRISE, AL 36330(334) 308-2292 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 21, 2024, Apr 8, 2022 (2 updates tracked since 2022).

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About Jessyca Renae Coleman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSYCA RENAE COLEMAN (NPI 1023750221) is an individual social worker in Enterprise, Alabama, licensed in Alabama (5225G) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1023750221

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameJESSYCA RENAE COLEMAN

Location Address557 GLOVER AVE STE 3Enterprise, AL 36330-2070

Mailing Address108 Crest Hill DrEnterprise, AL 36330-4474 · (334) 406-0816

Phone(334) 308-2292

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateApril 8, 2022

Last NPPES UpdateJune 21, 20242 updates tracked since enumeration

NPPES CertifiedJune 21, 2024

✔ NPI 1023750221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in AL · 5225G

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

557 GLOVER AVE STE 3, Enterprise, AL 36330

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessyca Renae Coleman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668819335

PECOS Enrollment IDI20240318003108

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THRIVE COUNSELING AND CONSULTING, LLC

Counselor (Mental Health)