JEOVANNA NATHALIE COLOMA LCSW
NPI 1063819845
Social Worker in Woodside, NY

Active since November 22, 2014PECOS Enrolled
4902 QUEENS BLVD STE 2, WOODSIDE, NY 11377(929) 296-6790 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 6, 2025, Nov 3, 2016 (2 updates tracked since 2016).

About Jeovanna Nathalie Coloma Lcsw NPPES

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

JEOVANNA NATHALIE COLOMA LCSW (NPI 1063819845) is an individual social worker in Woodside, New York, licensed in New York (095941) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Brooklyn, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1063819845
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameJEOVANNA NATHALIE COLOMACredential: LCSW
Location Address4902 QUEENS BLVD STE 2Woodside, NY 11377-4445
Mailing Address310 Saint Nicholas AveBrooklyn, NY 11237-6566 · (929) 296-6790
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 22, 2014
Last NPPES UpdateAugust 6, 20252 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
NPI 1063819845 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 NY · 095941
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.
4902 QUEENS BLVD STE 2, Woodside, NY 11377

Secondary Practice Location 1

Location 1310 Saint Nicholas AveBrooklyn, NY 11237-6566 · Phone (929) 296-6790

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jeovanna Nathalie Coloma Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769985704
PECOS Enrollment IDI20250915000656
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 11

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

Counselor (Mental Health)
4902 QUEENS BLVD STE 2
WOODSIDE, NY 11377
Social Worker
4902 QUEENS BLVD STE 2
WOODSIDE, NY 11377
Counselor (Mental Health)
4902 QUEENS BLVD STE 2
WOODSIDE, NY 11377
Student in an Organized Health Care Education/Training Program
4902 QUEENS BLVD STE 2
WOODSIDE, NY 11377
Counselor (Mental Health)
4902 QUEENS BLVD STE 2
WOODSIDE, NY 11377
Student in an Organized Health Care Education/Training Program
4902 QUEENS BLVD STE 2
WOODSIDE, NY 11377
Community/Behavioral Health
4902 QUEENS BLVD STE 2
WOODSIDE, NY 11377
Student in an Organized Health Care Education/Training Program
4902 QUEENS BLVD STE 2
WOODSIDE, NY 11377

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeovanna Coloma's NPI number?

The NPI number for Jeovanna Coloma is 1063819845. It was assigned to this individual provider in the NPPES registry on November 22, 2014.

Where is Jeovanna Coloma located?

Jeovanna Coloma practices at 4902 Queens Blvd Ste 2, Woodside, NY 11377. The listed phone number is (929) 296-6790.

What is Jeovanna Coloma's specialty?

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

Is Jeovanna Coloma enrolled in Medicare?

Yes. Jeovanna Coloma is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeovanna Coloma was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.