Alexandra Coffman, LCSW

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

1203660 Issued in IL

Practice address

400 E Lincoln Hwy Ste 102
New Lenox, IL 60451-1993

Phone

(779) 707-3717

NPI assigned

Aug 3, 2022

Last updated

Mar 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Uniquely You Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Lenox, IL
  • NPI 1851975072
  NPD
• Uniquely You Behavioral Health

  • Adult Mental Health Clinic/Center
  • New Lenox, IL
  • NPI 1891623898
  NPD

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1598492134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E LINCOLN HWY STE 102",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511993",
            "telephone_number": "779-707-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E LINCOLN HWY STE 102",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511993",
            "telephone_number": "779-707-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFMAN",
        "first_name": "ALEXANDRA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-03",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "14902",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "IL",
            "license": "1203660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Cieslik
• Lauren E Cihocki
• Aristide Cioe III, PHARMD
• Nicole Cirrencione, RD, LDN
• Kiara Monique Clayburn, RBT
• Comfort Psychiatric Services Inc
• Complete Rehab and Consultation Inc
• Comprehensive Pathology Services, S.C.
• Mikaela Conces
• Connections Medical Group Associates LLC

• School Social Worker in New Lenox, IL
• Providers in New Lenox, IL by specialty
• School Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.