Brenda J Coffin

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW020886 Issued in PA

Practice address

1201 Fruitville Pike
Lititz, PA 17543-9361

Phone

(717) 615-7713

NPI assigned

Nov 24, 2020

Sex

Female

Sole proprietor

Yes

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)

Enrolled

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1730783432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 FRUITVILLE PIKE",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175439361",
            "telephone_number": "717-615-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 FRUITVILLE PIKE",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175439361",
            "telephone_number": "717-615-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFIN",
        "first_name": "BRENDA",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaron Clark, DO
• Lexi Clark, RN
• Carolyn Clemans, CNM
• Avery Clukey, PT, DPT
• CNS Occupational Health LLC
• Rebecca Colantonio, LMT
• Erin Lynn Collins, PA-C
• Kathryn E Collins, O.D.
• Breesha Wynn Comish, LMFT
• Community Anesthesia Associates, LTD.

• Clinical Social Worker in Lititz, PA
• Providers in Lititz, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.