MEDICARE: TYLYNN COFER LCSW

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
1	1041C0700X	Clinical Social Worker	CW018825	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CW018825	OTHER	PA	CLINICAL SOCIAL WORKER

General Provider Information

NPI Number	:	1487044467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TYLYNN COFER LCSW

Provider Business Mailing Address
First Line	:	6970 LINDEN RD
Second Line	:
City	:	MACUNGIE
State	:	PA
Zip	:	18062-9410
Country	:	US
Telephone Number	:	484-767-7756
Fax Number	:

Provider Business Practice Location Address
First Line	:	6970 LINDEN RD
Second Line	:
City	:	MACUNGIE
State	:	PA
Zip	:	18062-9410
Country	:	US
Telephone Number	:	484-767-7756
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2015
Last Update Date	:	02/03/2026

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Directions to “ TYLYNN COFER LCSW” Practice Location

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