Coffey, Jarod Matthew

Coffey, Jarod Matthew is an individual health care provider with primary practice located at 417 Biltmore Ave Ste 2E , Asheville NC 28801-4540. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Coffey, Jarod Matthew can be contacted via phone (828) 350-1177.

Contact Information

Primary practice address
417 Biltmore Ave Ste 2E Asheville NC 28801-4540
Fax: (828) 350-1188
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCAS 1549 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCSW C004949 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X C004949 North Carolina

Profile Details

NPI number 1356402135
LBN Legal business name Coffey, Jarod Matthew
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Nov 16th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356402135 NPPES
North Carolina MEDICAID 6003407

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