Provider Demographics
NPI:1144275066
Name:COLMAN, GAIL EMILY (LCSW)
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:EMILY
Last Name:COLMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:534 CONKEY ST
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:IN
Mailing Address - Zip Code:46324-1100
Mailing Address - Country:US
Mailing Address - Phone:219-933-7111
Mailing Address - Fax:219-933-6657
Practice Address - Street 1:800 MAIN ST
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:IL
Practice Address - Zip Code:60002-1542
Practice Address - Country:US
Practice Address - Phone:773-936-4423
Practice Address - Fax:219-933-6657
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490097241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical