Kimberly Coffman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

105692 Issued in TX

Practice address

2602 Bigleaf Dr
Killeen, TX 76549-3513

Phone

(913) 634-7281

NPI assigned

Sep 13, 2021

Last updated

Aug 28, 2024By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1912676859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 CENTRAL AVE BLDG 1750",
            "city": "JBPHH",
            "state": "HI",
            "postal_code": "968604908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 BIGLEAF DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765493513",
            "telephone_number": "913-634-7281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 Central Ave Bldg 1750",
            "address_purpose": "LOCATION",
            "city": "Jbphh",
            "state": "HI",
            "postal_code": "968604908",
            "country_code": "US",
            "telephone_number": "913-634-7281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COFFMAN",
        "first_name": "KIMBERLY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "105692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yana Cobb, OT
• Bettina Renee Cochran, LMSW
• Hannah Noelle Cochran
• Stephanie Coe
• Cassidy Renee Coffey
• William W Cofield Jr., PSY.D.
• Sabrina Maria Cogborn, SPECIALIST
• Kaylyn Cole
• Robin Lynn Cole, DC
• Shanekia Cole, APRN

• Clinical Social Worker in Killeen, TX
• Providers in Killeen, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.