Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeovanna Nathalie Coloma, LCSW

Individual provider Social Worker · NPI 1063819845

Jeovanna Nathalie Coloma, LCSW is a Clinical Social Worker in Woodside, New York. Qualified in 2014, 12 years ago. Works from 2 locations. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2014
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4902 Queens Blvd Ste 2
Woodside, NY 11377-4445
Phone: (929) 296-6790
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 310 Saint Nicholas Ave, Brooklyn, NY 11237-6566 — (929) 296-6790

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 095941 (NY)

Record details

NPI number1063819845
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 22, 2014
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Woodside