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1194191338

NPI Code Detail

MEDICARE: DR. HOPE COLEMAN DSW, LCSW

MEDICARE: DR. HOPE COLEMAN DSW, LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	14300	LA
2	1041C0700X	Clinical Social Worker	TPSW4232	FL
3	1041C0700X	Clinical Social Worker	5886C	AL
4	1041C0700X	Clinical Social Worker	SWB-2024-0027	NM
5	171W00000X	Contractor
6	1041C0700X	Clinical Social Worker	24046	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194191338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOPE COLEMAN DSW, LCSW

Provider Business Mailing Address
First Line	:	4658 PRESIDENTIAL PKWY # 1178
Second Line	:
City	:	MACON
State	:	GA
Zip	:	31206-8708
Country	:	US
Telephone Number	:	225-362-8313
Fax Number	:

Provider Business Practice Location Address
First Line	:	8507 OXON HILL RD STE 200
Second Line	:
City	:	FORT WASHINGTON
State	:	MD
Zip	:	20744-4774
Country	:	US
Telephone Number	:	301-246-0295
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2015
Last Update Date	:	07/05/2025

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Directions to “ DR. HOPE COLEMAN DSW, LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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