Individual provider · Type 1 NPI

Shannon Coffaro

Clinical Social Worker · Seaside, OR

NPI number 1699409755 Active

Practice location

1005 Broadway St
Seaside, OR 97138-7845

Mailing address

65 N Highway 101 Ste 204
Warrenton, OR 97146-9371

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X100968 (CA)

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 1699409755

Shannon Coffaro's National Provider Identifier is 1699409755, issued on Jul 14, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Seaside, OR. The record was last updated on Sep 18, 2025.