Individual
JACINTA A. COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
3825 17TH PL NE, WASHINGTON, DC 20018-2313
(202) 529-1572
(202) 529-0105
Mailing address
3825 17TH PL NE, WASHINGTON, DC 20018-2313
(202) 529-1572
(202) 529-0105
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
302697
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24088
CLINICAL SOCIAL WORKER
DC
01
—
268813
CLINICAL SOCIAL WORKER
DC
01
—
5418
CLINICAL SOCIAL WORKER
DC
01
—
M36800001
SOCIAL WORKER CLINICAL
DC
Enumeration date
06/16/2006
Last updated
07/08/2007
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