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

Makenna Marie Coffee

Individual provider Clinical Social Worker · NPI 1174279111

Makenna Marie Coffee is a Clinical Social Worker in Salem, Oregon. Qualified in 2023, 3 years ago. Licensed in Oregon.

Years since qualifying
3
Licensed in
OR
In the registry since
2022

Practice location Address checks out

2645 Portland Rd NE Ste 120
Salem, OR 97301-0200
Phone: (503) 390-5637
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence L17717 (OR)

Record details

NPI number1174279111
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 28, 2022
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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