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SHANNON COFFARO
NPI 1699409755
Social Worker - Clinical in Seaside, OR

Active since July 14, 2022PECOS Enrolled
1005 BROADWAY ST, SEASIDE, OR 97138(503) 325-5722 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2025, Jul 14, 2022 (2 updates tracked since 2022).

About Shannon Coffaro NPPES

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

SHANNON COFFARO (NPI 1699409755) is an individual clinical provider in Seaside, Oregon, licensed in California (100968) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1699409755
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANNON COFFARO
Location Address1005 BROADWAY STSeaside, OR 97138-7845
Mailing Address65 N Highway 101 Ste 204Warrenton, OR 97146-9371 · (503) 325-5722
Phone(503) 325-5722
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 14, 2022
Last NPPES UpdateSeptember 18, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
✔ NPI 1699409755 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 CA · 100968
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.
1005 BROADWAY ST, Seaside, OR 97138
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Coffaro is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921595380
PECOS Enrollment IDI20251017002484
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97138 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.96 – $166.64
Typical copayment $0.00 (range $13.74 – $41.66)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

KAYLIN FAITH GAUNT
Case Manager/Care Coordinator
1005 BROADWAY ST
SEASIDE, OR 97138
Clatsop County (503) 325-5722
CANDIDA MELISSA MAHAN
Case Manager/Care Coordinator
1005 BROADWAY ST
SEASIDE, OR 97138
Clatsop County (503) 325-5722
ROBIN LOUISE MCGREGOR
Case Manager/Care Coordinator
1005 BROADWAY ST
SEASIDE, OR 97138
Clatsop County (503) 325-5722
ZAIRE ELTAYEB
Case Manager/Care Coordinator
1005 BROADWAY ST
SEASIDE, OR 97138
Clatsop County (503) 325-5722
HAILEY MARIE RANTA
Case Manager/Care Coordinator
1005 BROADWAY ST
SEASIDE, OR 97138
Clatsop County (503) 325-5722
CHRISTOPHER JAMES BEEMAN
Case Manager/Care Coordinator
1005 BROADWAY ST
SEASIDE, OR 97138
Clatsop County (503) 325-5722
BONNY LYNN SCHULTZ
Counselor (Addiction (Substance Use Disorder))
1005 BROADWAY ST
SEASIDE, OR 97138
Clatsop County (503) 325-5722

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 Shannon Coffaro's NPI number?

The NPI number for Shannon Coffaro is 1699409755. It was assigned to this individual provider in the NPPES registry on July 14, 2022.

Where is Shannon Coffaro located?

Shannon Coffaro practices at 1005 Broadway St, Seaside, OR 97138. The listed phone number is (503) 325-5722.

What is Shannon Coffaro's specialty?

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

Is Shannon Coffaro enrolled in Medicare?

Yes. Shannon Coffaro is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Coffaro was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.