Adrienne Melissa Koffman in Holladay - Clinical
Adrienne Melissa Koffman - NPI 1992909170
Adrienne Melissa Koffman is a Clinical in Holladay, Utah. Adrienne Melissa Koffman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Adrienne Melissa Koffman is 1992909170. The last update date is 2015-03-26.
Adrienne Melissa Koffman's current location address is 4625 S 2300 E Ste 211, Holladay, Utah. You can contact this provider via phone number 8018651453. The mailing address for Adrienne Melissa Koffman is 4625 S 2300 E Ste 211, Holladay, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Adrienne Melissa Koffman |
|---|---|
| Address | 4625 S 2300 E Ste 211, Holladay, Utah |
| Phone Number | 8018651453 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1992909170 |
|---|---|
| Provider Enumeration Date | 2007-06-12 |
| Last Updated Date | 2015-03-26 |
Provider Mailing Address Detail
| Address | 4625 S 2300 E Ste 211 |
|---|---|
| City | Holladay |
| State | Utah (UT) |
| Post Code | 841174582 |
| Phone Number | 8018651453 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6625159-3506 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique identification code assigned to Adrienne Melissa Koffman by the Centers for Medicare & Medicaid Services?
The Adrienne Melissa Koffman has been issued the NPI (National Provider Identifier) 1992909170. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Adrienne Melissa Koffman located?
The Adrienne Melissa Koffman is located at 4625 S 2300 E Ste 211, Holladay, UT 841174582.
What is the Adrienne Melissa Koffman's area of specialization and corresponding taxonomy classification?
The Adrienne Melissa Koffman's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1992909170 to Adrienne Melissa Koffman?
The Centers for Medicare & Medicaid Services originally issued the 1992909170 to Adrienne Melissa Koffman on 2007-06-12.
As of what date was the information pertaining to Adrienne Melissa Koffman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Adrienne Melissa Koffman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-03-26.