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

Jessyca Renae Coleman

Individual provider Social Worker · NPI 1023750221

Jessyca Renae Coleman is a Clinical Social Worker in Enterprise, Alabama. Qualified in 2020, 6 years ago. Practices as a sole proprietor. Licensed in Alabama.

Years since qualifying
6
Licensed in
AL
In the registry since
2022

Practice location Address checks out

557 Glover Ave Ste 3
Enterprise, AL 36330-2070
Phone: (334) 308-2292
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 5225G (AL)

Record details

NPI number1023750221
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 8, 2022
Last updated in NPPESJune 21, 2024
Certification dateJune 21, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Enterprise