Individual provider Active NPI

Tatiana Daughtrey Coffman, LCSW

  • Clinical Social Worker
  • Gilbert, AZ
National Provider Identifier
1811261191
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-19413 Issued in AZ
Practice address
428 S Gilbert Rd Ste 105
Gilbert, AZ 85296-2261
Phone
(480) 788-2898
Fax
(888) 553-2642
NPI assigned
Mar 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-19413 AZ Primary

Addresses

Primary practice location

428 S Gilbert Rd Ste 105
Gilbert, AZ 85296-2261

Mailing address

428 S Gilbert Rd Ste 105
Gilbert, AZ 85296-2261
Phone (480) 788-2898

Other names 1

  • Tatiana Indrisek Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-19413AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tatiana Daughtrey LLC Social Worker CurrentSince Sep 1, 2019 Accepting new patients

Locations

6 E Palo Verde St
Ste 5
Gilbert, AZ 85296

3651 E Baseline Rd
Ste E104
Gilbert, AZ 85234

428 S Gilbert Rd
Ste 105
Gilbert, AZ 85296
Phone (480) 442-5007

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1811261191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 S GILBERT RD STE 105",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852962261",
            "telephone_number": "480-788-2898",
            "fax_number": "888-553-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 S GILBERT RD STE 105",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852962261",
            "telephone_number": "480-788-2898",
            "fax_number": "888-553-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUGHTREY COFFMAN",
        "first_name": "TATIANA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-03",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-19413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TATIANA",
            "last_name": "INDRISEK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.