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NPI Code Detail

MEDICARE: MS. DIANE COFFEY LMSW-CC

MEDICARE: MS. DIANE COFFEY LMSW-CC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerMC25767ME

General Provider Information

NPI Number : 1396693313
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DIANE COFFEY LMSW-CC
Provider Business Mailing Address
First Line : 30 LYNCH ST
Second Line :
City : BRUNSWICK
State : ME
Zip : 04011-7519
Country : US
Telephone Number : 646-402-2933
Fax Number :
Provider Business Practice Location Address
First Line : 66 STONE ST
Second Line :
City : AUGUSTA
State : ME
Zip : 04330-5227
Country : US
Telephone Number : 207-873-2136
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2026
Last Update Date : 03/17/2026

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Directions to “ MS. DIANE COFFEY LMSW-CC” Practice Location

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