Individual provider · Type 1 NPI
Jared Coffman
Clinical Social Worker · Bourbonnais, IL
Practice location
763 Revere St
Bourbonnais, IL 60914-4563
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | None listed |
| Clinical Social Worker Primary | 1041C0700X | None listed |
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 1174297071
Jared Coffman's National Provider Identifier is 1174297071, issued on Aug 4, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bourbonnais, IL. The record was last updated on Aug 4, 2021.