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

Mr. Michael Eric Coffman Jr., MSW, LGSW, CAC, ICADC

Individual provider Clinical Social Worker · NPI 1366654139

Mr. Michael Eric Coffman Jr., MSW, LGSW, CAC, ICADC is a Clinical Social Worker in Fairmont, West Virginia. Licensed in West Virginia. Registered with an NPI since 2007.

Licensed in
WV
In the registry since
2007
Specialties on file
3
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

448 Leonard Ave
Fairmont, WV 26554-3843
Phone: (304) 366-7174
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence BP00943419 (WV)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 06-111 (WV)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 112279 (WV)

Record details

NPI number1366654139
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LGSW , CAC , ICADC
Sole proprietorNo
NPI enumeratedMay 4, 2007
Last updated in NPPESJuly 13, 2009

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