Healthcare Provider Details

I. General information

NPI: 1528607363
Provider Name (Legal Business Name): NANCY E COFFEY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NANCY ELIZABETH TOROSIAN LCSW

II. Dates (important events)

Enumeration Date: 12/26/2019
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5342 DUDLEY BLVD BLDG 98
MCCLELLAN CA
95652-1012
US

IV. Provider business mailing address

6560 CARLSBAD CT
ROCKLIN CA
95765-5856
US

V. Phone/Fax

Practice location:
  • Phone: 916-561-7627
  • Fax:
Mailing address:
  • Phone: 916-524-0960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number22500
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: