JARED COFFMAN
NPI 1174297071
Social Worker - Clinical in Bourbonnais, IL

Active since August 04, 2021
763 REVERE ST, BOURBONNAIS, IL 60914(815) 549-0981 Get Directions Write a Review

NPPES record last updated: August 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jared Coffman NPPES

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

JARED COFFMAN (NPI 1174297071) is an individual clinical provider in Bourbonnais, Illinois and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1174297071
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJARED COFFMAN
Location Address763 REVERE STBourbonnais, IL 60914-4563
Mailing Address763 Revere StBourbonnais, IL 60914-4563 · (815) 549-0981
Sole ProprietorNo
Enumeration DateAugust 4, 2021
NPPES CertifiedAugust 4, 2021
NPI 1174297071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
Also ListedSocial WorkerTaxonomy 104100000X
763 REVERE ST, Bourbonnais, IL 60914

Other Providers at the Same Location NPPES

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
763 REVERE ST
BOURBONNAIS, IL 60914

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 Jared Coffman's NPI number?

The NPI number for Jared Coffman is 1174297071. It was assigned to this individual provider in the NPPES registry on August 4, 2021.

Where is Jared Coffman located?

Jared Coffman practices at 763 Revere St, Bourbonnais, IL 60914. The listed phone number is (815) 549-0981.

What is Jared Coffman'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 Jared Coffman was last updated on August 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.