Mr Michael Eric Coffman Jr, MSW, LGSW, CAC,ICADC - Clinical Social Worker in Fairmont, WV

Mr Michael Eric Coffman Jr, MSW, LGSW, CAC,ICADC is a Social Worker - Clinical based in Fairmont, West Virginia. Mr Michael Eric Coffman Jr is licensed to practice in West Virginia (license number BP00943419) and his current practice location is 448 Leonard Ave, Fairmont, West Virginia. He can be reached at his office (for appointments etc.) via phone at (304) 366-7174.

NPI number for Mr Michael Eric Coffman Jr is 1366654139 and his current mailing address is Rr 1 Box 161, Shinnston, West Virginia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366654139.

Contact Information

Mr Michael Eric Coffman Jr, MSW, LGSW, CAC,ICADC
448 Leonard Ave,
Fairmont, WV 26554-3843
(304) 366-7174
Not Available



Healthcare Provider's Profile

Full NameMr Michael Eric Coffman Jr
GenderMale
SpecialitySocial Worker - Clinical
Location448 Leonard Ave, Fairmont, West Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1366654139
  • Provider Enumeration Date: 05/04/2007
  • Last Update Date: 07/13/2009

Medical Identifiers

Medical identifiers for Mr Michael Eric Coffman Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366654139NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical BP00943419 (West Virginia)Primary
101YA0400XCounselor - Addiction (substance Use Disorder) 06-111 (West Virginia)Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) 112279 (West Virginia)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Michael Eric Coffman Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Michael Eric Coffman Jr, MSW, LGSW, CAC,ICADC
Rr 1 Box 161,
Shinnston, WV 26431-9724

Ph: (304) 669-4002
Mr Michael Eric Coffman Jr, MSW, LGSW, CAC,ICADC
448 Leonard Ave,
Fairmont, WV 26554-3843

Ph: (304) 366-7174

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› Verified 9 days ago


Social Worker in Fairmont, WV

Michael Charles Richards, LGSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 118 Adams St, Suite 203, Fairmont, WV 26554
Phone: 681-404-6094    
Travis Hogbin, MSW, LGSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 207 Fairmont Ave, Fairmont, WV 26554
Phone: 681-404-6859    
Mr. Aaron M. Vedock, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 708 Old Hickory Dr, Fairmont, WV 26554
Phone: 304-365-4396    
Ms. Lindsay Smith, LICSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 207 Fairmont Ave, Fairmont, WV 26554
Phone: 681-404-6869    
Brandi Asterino Powell, LICSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 181 Middletown Cir, Fairmont, WV 26554
Phone: 304-367-9170    
Kelly Lynn Mccoy,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1455 Colfax Rd, Fairmont, WV 26554
Phone: 304-290-4941    

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