Jessyca Renae Coleman
NPI 1023750221ActiveIndividual· Social Worker, Clinical· Enterprise, AL
Social Worker, Clinical in Enterprise, Alabama, licensed in AL, FL and IA, with an NPI issued in April 2022. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1023750221 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Apr 8, 2022 |
| Last updated in NPPES | Oct 6, 2026 |
| Certified by provider | Oct 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 5224C | AL |
| Social Worker, Clinical | 1041C0700X | 27440 | FL |
| Social Worker, Clinical | 1041C0700X | 134935 | IA |
| Social Worker | 104100000X | 5225G | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (AL) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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