Daryl Patrick Coppadge, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC01492200 Issued in NJ

Practice address

770 Woodlane Rd
Westampton, NJ 08060-3804

Phone

(609) 267-5928

NPI assigned

Aug 25, 2016

Last updated

Mar 8, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1984

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Oaks Integrated CareGroup PAC ID 6709961857, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oaks Integrated Care

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Westampton, NJ
  • NPI 1255427647
  Medicare reassignment Care Compare group NPD
• Professional Psychology Services

  dba John Francis Golden

  • Professional Counselor
  • Medford, NJ
  • NPI 1609200567
  NPD (past)
• Professional Psychology Services, PC

  • Clinical Psychologist
  • Philadelphia, PA
  • NPI 1861456212
  NPD (past)

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1235684747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 SOUTH 17TH STREET",
            "address_2": "SUITE101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19103",
            "telephone_number": "215-545-7800",
            "fax_number": "215-545-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 WOODLANE RD",
            "city": "WESTAMPTON",
            "state": "NJ",
            "postal_code": "080603804",
            "telephone_number": "609-267-5928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 S 17th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191036336",
            "country_code": "US",
            "telephone_number": "215-545-7800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "118 N Haddon Ave",
            "address_purpose": "LOCATION",
            "city": "Haddonfield",
            "state": "NJ",
            "postal_code": "080332306",
            "country_code": "US",
            "telephone_number": "856-254-9983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COPPADGE",
        "first_name": "DARYL",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-25",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01492200",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0043494",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Copeland Jr.
• Darlene Copeland
• Emilee Copeland
• Justice Copeland
• Tahjeer Copling
• Ashley Coralluzzo
• Unika Corbett
• Esther Cordon
• Angela M Corker
• Gregory Corker

• Clinical Social Worker in Westampton, NJ
• Providers in Westampton, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.