JORDAN COLEMAN


Address: 1421 Marshall Ave, Mattoon, IL 61938-5341
Phone: 2172738155

JORDAN COLEMAN (NPI# 1568080612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568080612
Entity Type Individual
Full Name JORDAN COLEMAN
Credential LCSW
Practice Address 1421 Marshall Ave
Mattoon
IL 61938-5341
Practice Telephone 2172738155
Mailing Telephone 2172738155
Enumeration Date 2020-07-06
Last Update Date 2020-07-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041S0200X Social Worker
Specialization: School
149021737 IL Behavioral Health & Social Service Providers

Other Providers JORDAN COLEMAN

NPI Name Taxonomy Address Enumeration
1477056281 Jordan Andrew Coleman Registered Nurse 130 May Morning Dr, Lexington, SC 29073-9440 2018-03-18
1528620002 Jordan Coleman Behavior Technician 333 University Ave, Sacramento, CA 95825-6531 2019-07-03
1134648926 Jordan Lee Coleman Student in an Organized Health Care Education/Training Program 240 E Huron St Ste 1-200, Chicago, IL 60611-2909 2017-09-13
1275081333 Jordan A Coleman Psychologist 1675 E Seminole St Ste A1, Springfield, MO 65804-2454 2016-09-19

Office Location

Street Address 1421 MARSHALL AVE
City MATTOON
State IL
Zip Code 61938-5341

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043831134 St Anthony's Memorial Hospital of The Hospital Sisters of The Third Or Clinic/Center 101 Coles Centre Pkwy, Ste 101, Mattoon, IL 61938 2020-04-30
1215436449 Sarah Bush Lincoln Health Center Durable Medical Equipment & Medical Supplies 300 Coles Centre Pkwy, Mattoon, IL 61938 2018-02-02
1841707726 Mattoon Chiropractic LLC Chiropractor 905 Remington Rd, Mattoon, IL 61938 2018-01-02
1164892758 Dr. Charles L. Schnibben Ltd. Dentist 1502 Lakeland Blvd, Mattoon, IL 61938 2015-09-25
1982000139 Judy A. Clark Hearing Instrument Specialist 1302 Charleston Avenue, Audibel Hearing Aids, Mattoon, IL 61938 2014-11-17
1023419884 Christopher Steven Lillie Physician Assistant 200 Richmond Ave East, Family Medical Center, Mattoon, IL 61938 2014-09-11
1295055168 Jennifer Harp Mechanotherapist 232 Richmond Ave East, Mattoon, IL 61938 2010-06-02
1447482682 Gene Clark Hearing Aid Service Hearing Aid Equipment 208 Wabash, Mattoon, IL 61938 2009-08-21
1326229774 Central Illinois Family Health Center Nurse Practitioner 10555 East County Rd 800 North, Mattoon, IL 61938 2007-11-14
1568656445 Bernie Ranchero Family Medicine 1004 Health Center Dr Ste 210, Mattoon, IL 61938 2007-09-04
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Taxonomy Information

Taxonomy Code 1041S0200X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1366059818 Amy D Ruckman Social Worker 407 S Edwards St, Altamont, IL 62411-1799 2020-09-29
1164063632 John Naret Social Worker 9130 S 52nd Ave, Oak Lawn, IL 60453-1799 2019-10-04
1306496393 Marie Nagle Social Worker 6316 157th St, Oak Forest, IL 60452-2710 2019-09-12
1639641376 Brandon Christensen Social Worker 110 Collins St, Joliet, IL 60432-2942 2018-12-19
1558847335 Inner Balance Wellness Social Worker 303 E Army Trail Rd Ste 207, Bloomingdale, IL 60108-2143 2018-07-16
1538675244 Mary Elizabeth Hall Social Worker 411 Stave Mill Rd, Murphysboro, IL 62966-4888 2017-12-18
1184133084 Andrea Lynn Geis Social Worker 50 Blackwood Dr, Murphysboro, IL 62966-2937 2017-09-22
1295244242 Amy Elizabeth Prudencio Social Worker 1301 E. Walnut Street, Carbondale, IL 62901 2017-09-21
1528587318 Jaclyn Hood Social Worker 3945 Wehrman, Schiller Park, IL 60176 2017-09-13
1063930675 Haley Estes Social Worker 413 N. Appleknocker Drive, Cobden, IL 62920 2017-09-04
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Competitor

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City MATTOON
Zip Code 61938

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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