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NPI Code Detail

MEDICARE: YAHDIYA COLEMAN

MEDICARE: YAHDIYA COLEMAN
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
11041C0700XClinical Social WorkerASW138842CA

General Provider Information

NPI Number : 1457239857
Entity Type Code : Individual
Provider Name (Legal Business Name) : YAHDIYA COLEMAN
Provider Business Mailing Address
First Line : 7413 SUNSPARK LN
Second Line :
City : SACRAMENTO
State : CA
Zip : 95828-6239
Country : US
Telephone Number : 310-654-3829
Fax Number :
Provider Business Practice Location Address
First Line : 175 W COURT ST
Second Line :
City : WOODLAND
State : CA
Zip : 95695-2913
Country : US
Telephone Number : 530-661-4400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2025
Last Update Date : 05/27/2026

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Directions to “ YAHDIYA COLEMAN ” Practice Location

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