Shannon Coffaro

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

100968 Issued in CA

Practice address

1005 Broadway St
Seaside, OR 97138-7845

Phone

(503) 325-5722

NPI assigned

Jul 14, 2022

Last updated

Sep 18, 2025By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Group practices

Clatsop Behavioral HealthcareGroup PAC ID 1355336454, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/clatsopbh/r4/

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.

• Clatsop Behavioral Healthcare

  • Community/Behavioral Health Agency
  • Warrenton, OR
  • NPI 1013925155
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1699409755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 N HIGHWAY 101 STE 204",
            "city": "WARRENTON",
            "state": "OR",
            "postal_code": "971469371",
            "telephone_number": "503-325-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 BROADWAY ST",
            "city": "SEASIDE",
            "state": "OR",
            "postal_code": "971387845",
            "telephone_number": "503-325-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFARO",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "100968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Chow, PHARMD
• City of Seaside (Seaside Fire & Rescue)
• Coastal Breeze Recovery, LLC (Awakenings By The Sea)
• Coda, Inc.
• Michael Ray Coddington, R.PH.
• Columbia Lutheran Charities (CMH Community Pharmacy- Seaside)
• Columbia Lutheran Charities (CMH Medical Group & Urgent Care- Seaside)
• Jillian Conrad
• Willow Morningstar Creel
• Carol L Crowe, FNP NP-C PMHNP-BC

• Clinical Social Worker in Seaside, OR
• Providers in Seaside, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.