Karissa Christine Coffman, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851115644 Issued in MI

Practice address

717 N Macomb St
Monroe, MI 48162-2929

Phone

(734) 258-3518

NPI assigned

Jan 16, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rivers Edge Psychological Services PC

  • Psychologist
  • Maybee, MI
  • NPI 1669065421
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1093420952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 HEISS RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481629419",
            "telephone_number": "734-652-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 N MACOMB ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481622929",
            "telephone_number": "734-258-3518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFMAN",
        "first_name": "KARISSA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851115644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cara Brianne Clevenger, LMSW
• CMM Anesthesia LLC
• Cedric Jerome Coates
• Roxanna Cocherell
• Scott Coddington, CRNA
• Sarah Cole
• Dasai Coleman
• Diane Collins, RD
• Leah Renee Collins
• Derek Colpaert, PTA

• Clinical Social Worker in Monroe, MI
• Providers in Monroe, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.