Active NPI
Rachel Coffman, LCSW
- Clinical Social Worker
- Reno, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4147-C
- Practice address
- 890 Mill St Ste 400
Reno, NV 89502-1562 - Phone
- (775) 538-6700
- NPI assigned
- Aug 23, 2006
- Last updated
- Apr 15, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4147-C | NV | Primary |
Addresses
Primary practice location
890 Mill St Ste 400
Reno, NV 89502-1562
Mailing address
890 Mill St Ste 400
Reno, NV 89502-1562
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100510755 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4147-C | NV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fundamental Behavioral Services LLC | Current | Accepting new patients | |
| Medtrans Medical Nevada Casal PLLC | Current | Accepting new patients | |
| Homebase Care Casal PLLC | Current | Accepting new patients |
Locations
3035 S Maryland Pkwy
Ste 110
Las Vegas, NV 89109
Phone (702) 751-2547
3312 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 410-7825
5412 Boulder Hwy
Las Vegas, NV 89122
Phone (702) 383-2406
850 Mill St
Ste 100
Reno, NV 89502
Phone (775) 982-3950
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Nevada Behavioral Health Systems
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1699158600
-
- Community Health Clinic/Center
- Las Vegas, NV
- NPI 1750846549
-
- Community/Behavioral Health Agency
- Reno, NV
- NPI 1942863253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649980800000",
"number": "1053428524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 MILL ST STE 400",
"city": "RENO",
"state": "NV",
"postal_code": "895021562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 MILL ST STE 400",
"city": "RENO",
"state": "NV",
"postal_code": "895021562",
"telephone_number": "775-538-6700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COFFMAN",
"first_name": "RACHEL",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2022-04-15",
"certification_date": "2022-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "4147-C",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100510755",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.