Organization
LISA KOFFMAN LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ANN KOFFMAN LCSW (CLINICAL SOCIAL WORKER)
(505) 908-1540
Entity
Organization
Contact information
Practice address
1021 CARLISLE BLVD SE, ALBUQUERQUE, NM 87106-1642
(505) 908-1540
Mailing address
1812 MORNINGRISE PL SE, ALBUQUERQUE, NM 87108-4520
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/18/2025
Last updated
04/14/2026
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