Laura Coffin, M.S.W., L.C.S.W.
Individual provider Active NPI Clinical Social Worker · Newtown, CT
NPI 1265853196 · NPPES record last updated Dec 19, 2013
Key facts
- NPI
- 1265853196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 004223 (CT)
- Practice address
- 19 Wills Rd
Newtown, CT 06470-2232 - Phone
- (203) 927-6761
- NPI assigned
- Dec 19, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 19, 2021 through Jan 19, 2027
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4223 | CT | MD | Professional Counselor |
| 004223 | CT | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 004223 | CT | Yes |
Addresses
Primary practice location
19 Wills Rd
Newtown, CT 06470-2232
Mailing address
30 Mountain Edge CT
Cheshire, CT 06410-2638
Phone (203) 927-6761
Other providers in Newtown, CT
- Church Hill Physical Therapy Inc
- Roy Joseph Ciarlo
- Miluska Valeria Ciurlizza
- Katina C Clarke
- CMC Physical Therapy
- Community Health Associates, LLC
- Deidre Marie Condon
- Connecticut CVS Pharmacy, L.L.C.
- Giovanni Cono
- Maura Conway
All providers in Newtown, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.