Colten Dean Coffin, MA, LCSW
NPI 1891208419ActiveIndividual· Social Worker, Clinical· Blue Island, IL
Social Worker, Clinical (MA, LCSW) with Lifepath Therapy Associates, LLC, practicing in Blue Island, Illinois. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1891208419 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA, LCSW |
| Sole proprietor | No |
| NPI issued | Nov 6, 2017 |
| Last updated in NPPES | Apr 9, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 149021134 | IL |
| Social Worker | 104100000X | 150102660 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (IL) |
|---|
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Lifepath Therapy Associates, LLCChicago, IL · 13 clinicians
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