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Georgiana Coffman, LICSW-S, PIP

NPI 1881087138ActiveIndividual· Social Worker, Clinical· Fort Campbell, KY

Social Worker, Clinical (LICSW-S, PIP) with Strong Foundation Behavioral Health Clinic, practicing in Fort Campbell, Kentucky. Enrolled in Medicare as practitioner - mental health counselor.

Overview

NPI1881087138
StatusActive
Entity typeIndividual
CredentialLICSW-S, PIP
Sole proprietorNo
NPI issuedMar 11, 2015
Last updated in NPPESApr 9, 2024
Certified by providerApr 9, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Social Worker, Clinical Primary1041C0700X3668CAL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Mental Health Counselor (TN)

Medicare sources and data years

Education and affiliations

Graduation year2009
Medicare specialtyMental Health Counselor
TelehealthOffers telehealth

Medical group

Source: CMS Care Compare

Other clinical social workers in Fort Campbell

All 116 clinical social workers in Fort Campbell · All clinical social workers in Kentucky