Provider Demographics
NPI:1588988323
Name:COFFIELD, FELICIA MELISSA (MSW)
Entity type:Individual
Prefix:MS
First Name:FELICIA
Middle Name:MELISSA
Last Name:COFFIELD
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 DUNVALE RD APT 543
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-2741
Mailing Address - Country:US
Mailing Address - Phone:443-296-7812
Mailing Address - Fax:
Practice Address - Street 1:25 DUNVALE RD APT 543
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-2741
Practice Address - Country:US
Practice Address - Phone:443-296-7812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-23
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD095311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical