Individual provider · Type 1 NPI

Adrienne Melissa Koffman, LCSW

Clinical Social Worker · Holladay, UT

NPI number 1992909170 Active

Practice location

4625 S 2300 E Ste 211
Holladay, UT 84117-4582

Mailing address

4052 S Comet Cir
Holladay, UT 84124-1910

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6625159-3506 (UT)

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 1992909170

Adrienne Melissa Koffman, LCSW's National Provider Identifier is 1992909170, issued on Jun 12, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Holladay, UT. The record was last updated on Mar 26, 2015.