PHILLIP COFFEY LCSW
NPI 1164497962
Social Worker - Clinical in South Bend, IN

Active since February 23, 2006
403 E MADISON ST, SOUTH BEND, IN 46617(574) 533-1234(574) 537-2652 Get Directions Write a Review

NPPES record last updated: September 27, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phillip Coffey Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILLIP COFFEY LCSW (NPI 1164497962) is an individual clinical provider in South Bend, Indiana, licensed in Indiana (34002131A) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1164497962
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NamePHILLIP COFFEYCredential: LCSW
Location Address403 E MADISON STSouth Bend, IN 46617-2322
Mailing Address330 Lakeview DrGoshen, IN 46528-9365 · (574) 533-1234 · Fax (574) 537-2652
Fax(574) 537-2652
Sole ProprietorNo
Enumeration DateFebruary 23, 2006
Last NPPES UpdateSeptember 27, 2010
NPI 1164497962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IN · 34002131A
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
403 E MADISON ST, South Bend, IN 46617

Other Identifiers 2

Medicare UPINS20402
Medicare ID-Type Unspecified237580GIN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
403 E MADISON ST
SOUTH BEND, IN 46617
Social Worker (Clinical)
403 E MADISON ST
SOUTH BEND, IN 46617
Counselor
403 E MADISON ST
SOUTH BEND, IN 46617
Social Worker (Clinical)
403 E MADISON ST
SOUTH BEND, IN 46617
Psychologist (Clinical Child & Adolescent)
403 E MADISON ST
SOUTH BEND, IN 46617
Social Worker (Clinical)
403 E MADISON ST
SOUTH BEND, IN 46617
Counselor
403 E MADISON ST
SOUTH BEND, IN 46617
Social Worker (Clinical)
403 E MADISON ST
SOUTH BEND, IN 46617

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phillip Coffey's NPI number?

The NPI number for Phillip Coffey is 1164497962. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is Phillip Coffey located?

Phillip Coffey practices at 403 E Madison St, South Bend, IN 46617. The listed phone number is (574) 533-1234.

What is Phillip Coffey's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Phillip Coffey was last updated on September 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.