National Provider Identifier

Shannon Coughlin

Shannon Coughlin is listed in the NPPES registry with a primary specialty of Social Worker in Rochester, NY and a listed phone number of (585) 429-2703.

NPI 1790290328Rochester, NYSocial Worker

Profile Overview

NPI
1790290328
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
December 05, 2017
Last Updated
December 05, 2017

Practice Location

  • 2075 Scottsville RD
  • Rochester, NY 14623-2021

Phone: (585) 429-2703

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1790290328
Entity Type
Individual
Last Name
Coughlin
First Name
Shannon
Mailing Street Address
2075 Scottsville RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14623-2021
Mailing Country
US
Practice Street Address
2075 Scottsville RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14623-2021
Practice Country
US
Practice Phone
(585) 429-2703
Enumeration Date
December 05, 2017
Last Updated
December 05, 2017
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)