IndividualActive
Jordan Coleman, LCSW
NPI 1568080612 · School Social Worker · Mattoon, IL
Provider details
- NPI number
- 1568080612
- Entity type
- Individual
- Primary specialty
- School Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- 149021737 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1421 Marshall Ave
Mattoon, IL 61938-5341
Phone: (217) 273-8155
Approximate (ZIP-level) locationGet directions
Mailing address
1421 Marshall Ave
Mattoon, IL 61938-5341
Registry dates
- Enumerated
- 2020-07-06
- Last updated
- 2020-07-06
- Certified
- 2020-07-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.