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

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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