LISA KOFFMAN LCSW NPI 1558221879

NPI Information

  • NPI: 1558221879
  • Provider Name: LISA KOFFMAN LCSW
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 1021 CARLISLE BLVD SE
    ALBUQUERQUE, NM
    ZIP 87106
  • Phone: (505) 908-1540

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NPI Details

LISA KOFFMAN LCSW is an adult mental health clinic center in Albuquerque, NM. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. LISA KOFFMAN LCSW NPI is 1558221879. The provider is registered as an organization entity type.

The provider's business location address is:

1021 CARLISLE BLVD SE
ALBUQUERQUE, NM
ZIP 87106-642
Phone: (505) 908-1540

The provider's authorized official is Lisa Ann Koffman .
The authorized official title is Clinical Social Worker and has the following contact phone number (505) 908-1540.

The enumeration date for this NPI number is 11/18/2025 and was last updated on 11/18/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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