Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jared Coffman

Individual provider Social Worker · NPI 1174297071

Jared Coffman is a Social Worker in Bourbonnais, Illinois. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

763 Revere St
Bourbonnais, IL 60914-4563
Phone: (815) 549-0981
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Social Worker Taxonomy 104100000X

Record details

NPI number1174297071
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 4, 2021
Last updated in NPPESAugust 4, 2021
Certification dateAugust 4, 2021
Mailing address763 Revere St, Bourbonnais, IL 60914-4563

Other providers in Bourbonnais