JESSICA COLEMAN (LCSW) – Clinical Social Worker, NPI 1831460575

JESSICA COLEMAN (LCSW) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 7800-123 (WI). The NPI Number for JESSICA COLEMAN (LCSW) is 1831460575

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA COLEMAN (LCSW)
NPI
1831460575
Phone
(414) 935-8000
Address
PO BOX 80257
Enumeration Date
25 January 2012
Last Update Date
30 May 2018

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
4142243737
Graduation Year
2006 (20 years ago)
PAC ID
1951692656
Group Practice PAC ID
5092740985
Professional Enrollment ID
I20160628001771
Address ID
WI532024212MI229XXAVEX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,447 CLINICAL SOCIAL WORKER in WI

Provider Addresses for JESSICA COLEMAN (LCSW)

  • PO BOX 80257

    MILWAUKEE, WI 532088004

    Phone: (414) 935-8000

    Fax: (414) 344-3396

    Type: Mailing

  • 3522 W LISBON AVE

    MILWAUKEE, WI 53208

    Phone: (414) 935-8000

    Fax: (414) 344-3396

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-06-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160628001771IClinical Social WorkerWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53208)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092740985View full group profile
NameSpecialtyState
P S Y C H I A T R YWI
Clinical PsychologistWI
Clinical Social WorkerWI
Clinical Social WorkerWI
Nurse PractitionerME
Clinical PsychologistWI
Clinical Social WorkerWI
Clinical Social WorkerWI
Clinical Social WorkerWI
Clinical Social WorkerWI

Reviews

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Frequently asked questions

How do I look up JESSICA COLEMAN (LCSW) by NPI?
Use NPI 1831460575 when you need to reference JESSICA COLEMAN (LCSW) in forms, claims, or directories.
Is JESSICA COLEMAN (LCSW) active in the national directory?
JESSICA COLEMAN (LCSW)'s public NPI profile is in an active state.
What field does JESSICA COLEMAN (LCSW) work in?
You can think of JESSICA COLEMAN (LCSW) as practicing within Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What location metadata exists for JESSICA COLEMAN (LCSW)?
The page summarizes Milwaukee, Wisconsin for JESSICA COLEMAN (LCSW); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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