Provider Demographics
NPI:1285141762
Name:COLEMAN, DIONNE (LCSW-C)
Entity type:Individual
Prefix:
First Name:DIONNE
Middle Name:
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E PENNSYLVANIA AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-0700
Mailing Address - Country:US
Mailing Address - Phone:410-725-1188
Mailing Address - Fax:
Practice Address - Street 1:100 E PENNSYLVANIA AVE STE 202
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-0700
Practice Address - Country:US
Practice Address - Phone:443-895-4360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-05
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD195181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical