Individual provider · Type 1 NPI

Makenna Marie Coffee

Clinical Social Worker · Salem, OR

NPI number 1174279111 Active

Practice location

2645 Portland Rd NE Ste 120
Salem, OR 97301-0200

Call (503) 390-5637 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL17717 (OR)

Clinical Social Worker: 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 interpers…

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About NPI 1174279111

Makenna Marie Coffee's National Provider Identifier is 1174279111, issued on Feb 28, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Salem, OR. The record was last updated on Mar 5, 2026.