MR. MICHAEL ERIC COFFMAN JR. MSW, LGSW, CAC,ICADC
NPI 1366654139
Social Worker - Clinical in Fairmont, WV

Q: What is Michael Coffman's NPI number?

The NPI number for Michael Coffman is 1366654139. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Q: What is Michael Coffman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Coffman was last updated on July 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since May 04, 2007

448 LEONARD AVE, FAIRMONT, WV 26554(304) 366-7174 Get Directions Write a Review

NPPES record last updated: July 13, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Michael Eric Coffman Jr. Msw, Lgsw, Cac,icadc NPPES

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

MR. MICHAEL ERIC COFFMAN JR. MSW, LGSW, CAC,ICADC (NPI 1366654139) is an individual clinical provider in Fairmont, West Virginia, licensed in West Virginia (BP00943419) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1366654139

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. MICHAEL ERIC COFFMAN JR.Credential: MSW, LGSW, CAC,ICADC

Location Address448 LEONARD AVEFairmont, WV 26554-3843

Mailing AddressRr 1 Box 161Shinnston, WV 26431-9724 · (304) 669-4002

Phone(304) 366-7174

Sole ProprietorNo

Enumeration DateMay 4, 2007

Last NPPES UpdateJuly 13, 2009

✔ NPI 1366654139 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

License✔ Licensed in WV · BP00943419

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 ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 06-111 (WV), 112279 (WV)

448 LEONARD AVE, Fairmont, WV 26554

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Other Providers at the Same Location NPPES 8

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

MS. CINDY JO WANAMAKER LPC

Counselor (Professional)