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

Shannon Coffaro

Individual provider Clinical Social Worker · NPI 1699409755

Shannon Coffaro is a Clinical Social Worker in Seaside, Oregon. Qualified in 2007, 19 years ago. Practices with Clatsop Behavioral Healthcare, a 10-clinician group. Licensed in California.

Years since qualifying
19
Licensed in
CA
In the registry since
2022

Practice location Address checks out

1005 Broadway St
Seaside, OR 97138-7845
Phone: (503) 325-5722
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 100968 (CA)

Record details

NPI number1699409755
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 14, 2022
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025
Mailing address65 N Highway 101 Ste 204, Warrenton, OR 97146-9371

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Clatsop Behavioral Healthcare — 10 clinicians
Accepts Medicare assignment Not indicated

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