Amy Coppa, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L8324 Issued in OR

Practice address

610 SE 46TH St Apt 4
South Beach, OR 97366-1039

Phone

(541) 351-8337

NPI assigned

Oct 21, 2017

Last updated

Apr 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1508544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680393600000",
    "number": "1306357058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 SE 46TH ST APT 4",
            "city": "SOUTH BEACH",
            "state": "OR",
            "postal_code": "973661039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 SE 46TH ST APT 4",
            "city": "SOUTH BEACH",
            "state": "OR",
            "postal_code": "973661039",
            "telephone_number": "541-351-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPA",
        "first_name": "AMY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-21",
        "last_updated": "2023-04-02",
        "certification_date": "2023-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.016199",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L8324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Claire Alexander
• Dennis Dewitt Buckmaster, M.S
• Stacey Lynn Butterfield, RN
• Dianne M Conklin
• Jeannine Deniece Deaville
• Terri J Douglass
• William Joseph Driscoll, LCSW
• Stephanie Marie Earls, RN
• Harney Medical Supplies Inc.

• Clinical Social Worker in South Beach, OR
• Providers in South Beach, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2023; 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.