Amy Kopczynski Licsw LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

AMY KOPCZYNSKI LICSW LLC

Practice address

16 Hearthstone Rd
Hopkinton, MA 01748-1942

Phone

(617) 304-1005

NPI assigned

Dec 8, 2020

Organization subpart

No

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

Authorized official

Name

Amy Kopczynski, LICSWNPI 1881746592

Title

Mental Health Therapist

Phone

(617) 304-1005

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Kopczynski, LICSW

  • Social Worker
  • Hopkinton, MA
  • NPI 1881746592
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1215533914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HEARTHSTONE RD",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017481942",
            "telephone_number": "617-304-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 HEARTHSTONE RD",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017481942",
            "telephone_number": "617-304-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY KOPCZYNSKI LICSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "KOPCZYNSKI",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "617-304-1005",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Hopkinton, MA
• Providers in Hopkinton, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.