Provider Demographics
NPI:1588148811
Name:COLEMAN, KAROLYNN F
Entity type:Individual
Prefix:
First Name:KAROLYNN
Middle Name:F
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5710 WARWICK PL
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-5502
Mailing Address - Country:US
Mailing Address - Phone:240-350-3541
Mailing Address - Fax:301-951-2632
Practice Address - Street 1:4405 E WEST HWY STE 410
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4535
Practice Address - Country:US
Practice Address - Phone:240-350-3541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-22
Last Update Date:2018-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA105772-SW-LICSW1041C0700X
MD107831041C0700X
CALCSW50511041C0700X
DCLC30008071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical