Provider Demographics
NPI:1194191338
Name:COLEMAN, HOPE (DSW, LCSW)
Entity type:Individual
Prefix:DR
First Name:HOPE
Middle Name:
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:DSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4658 PRESIDENTIAL PKWY # 1178
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31206-8708
Mailing Address - Country:US
Mailing Address - Phone:225-362-8313
Mailing Address - Fax:
Practice Address - Street 1:8214 CAGLE RD
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-5507
Practice Address - Country:US
Practice Address - Phone:575-904-0959
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-11
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5886C1041C0700X
FLTPSW42321041C0700X
NMSWB-2024-00271041C0700X
171W00000X
LA14300104100000X
MD240461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171W00000XOther Service ProvidersContractor
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPLXBJMedicaid
FLROPEEMedicaid