Individual provider Active NPI

Teresa Coplen, LCSW

  • Clinical Social Worker
  • Alexandria, LA
National Provider Identifier
1144596669
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3747 Issued in LA
Practice address
1247B Macarthur Dr
Alexandria, LA 71303-3147
Phone
(318) 447-7219
Fax
(318) 443-7525
NPI assigned
Mar 29, 2012
Last updated
Mar 29, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3747 LA Primary

Addresses

Primary practice location

1247B Macarthur Dr
Alexandria, LA 71303-3147

Mailing address

1247B Macarthur Dr
Alexandria, LA 71303-3147
Phone (318) 447-7219

Other names 1

  • Teresa Ann Ulmer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3747LAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1144596669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247B MACARTHUR DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033147",
            "telephone_number": "318-447-7219",
            "fax_number": "318-443-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247B MACARTHUR DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033147",
            "telephone_number": "318-447-7219",
            "fax_number": "318-443-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPLEN",
        "first_name": "TERESA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "3747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "ULMER",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.