Organization Active NPI

Brenda Koplan,LCSW

  • Clinical Social Worker
  • Barnesville, GA
National Provider Identifier
1073608063
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
#002666 Issued in GA
Legal business name
BRENDA KOPLAN,LCSW
Practice address
522 Greenwood Street
Suite G
Barnesville, GA 30224
Phone
(404) 402-6132
Fax
(770) 228-4847
NPI assigned
Oct 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brenda Joyce Koplan, L.C.S.W.NPI 1922179662
Title
Counselor/Psychotherapist
Phone
(404) 402-6132

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X #002666 GA Primary

Addresses

Primary practice location

522 Greenwood Street
Suite G
Barnesville, GA 30224

Mailing address

135 Grove Lane
Griffin, GA 30224
Phone (404) 402-6132

National Provider Directory

National Provider Directory

Locations

522 Greenwood St
Ste G
Barnesville, GA 30204
Phone (404) 402-6132

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073608063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 GROVE LANE",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "30224",
            "telephone_number": "404-402-6132",
            "fax_number": "770-228-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 GREENWOOD STREET",
            "address_2": "SUITE G",
            "city": "BARNESVILLE",
            "state": "GA",
            "postal_code": "30224",
            "telephone_number": "404-402-6132",
            "fax_number": "770-228-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA KOPLAN,LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOPLAN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "COUNSELOR/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "404-402-6132",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "#002666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barnesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.