William Andrew Coffey, LMSW
Individual provider Active NPI Social Worker · Caro, MI
NPI 1457536047 · NPPES record last updated Aug 18, 2008
Key facts
- NPI
- 1457536047
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 6801079141 (MI)
- Practice address
- 467 N State St
Caro, MI 48723-1539 - Phone
- (989) 672-6160
- Fax
- (989) 672-6272
- NPI assigned
- Jan 2, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801079141 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| List Psychological Services, PLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801079141 | MI | Yes |
Addresses
Primary practice location
467 N State St
Caro, MI 48723-1539
Mailing address
3741 Wilder Rd
Suite a
Bay City, MI 48706-2343
Phone (989) 460-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7509134480 | Other | MI | BCBS |
Other providers in Caro, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.