MEDICARE: MRS. ANGELIQUE COLEMERE 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	1041C0700X	Clinical Social Worker	324450-3501	UT

General Provider Information

NPI Number	:	1851901193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANGELIQUE COLEMERE LCSW

Provider Business Mailing Address
First Line	:	559 E EMERSON AVE
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84105-2028
Country	:	US
Telephone Number	:	385-800-1807
Fax Number	:

Provider Business Practice Location Address
First Line	:	1399 S 700 E STE 16
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84105-2170
Country	:	US
Telephone Number	:	385-800-1807
Fax Number	:

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

Provider Enumeration Date	:	08/02/2020
Last Update Date	:	08/02/2020

Similar Medicare Providers

1114242724 — RYAN MORGAN LCSW
Practice Location Address:

1399 S 700 E STE 16
SALT LAKE CITY, UT
84105-2170

Practice Phone: 801-682-1715
Practice Fax:

1215713011 — SOPHIE MARIE MARTIN LMT
Practice Location Address:

2170 S MCCLELLAND ST APT 314
SALT LAKE CITY, UT
84106-1017

Practice Phone: 805-285-8302
Practice Fax:

1326058520 — BRIAN BILYEA D.C.
Practice Location Address:

2170 S MOREY RD
LAKE CITY, MI
49651-9013

Practice Phone: 231-839-4263
Practice Fax: 231-839-4264

1336159540 — BRIAN BILYEA PC
Practice Location Address:

2170 S MOREY RD
LAKE CITY, MI
49651-9013

Practice Phone: 231-839-4263
Practice Fax: 231-839-4264

1013020049 — LOUIE T BALLIS DC
Practice Location Address:

2170 AIRLINE DR
BOSSIER CITY, LA
71111

Practice Phone: 318-746-4445
Practice Fax: 318-746-0353

1548372873 — RANDALL HUMPHREYS P A
Practice Location Address:

2401 SAINT ANDREWS BLVD
PANAMA CITY, FL
32405-2170

Practice Phone: 850-785-2717
Practice Fax: 850-785-2301

Directions to “ MRS. ANGELIQUE COLEMERE 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.