Leanne Marie Coppola, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

58.011017 Issued in CT

Practice address

300 Church St
Yalesville, CT 06492-2253

Phone

(860) 301-0703

NPI assigned

May 4, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Inspire Recovery LLC

  • Mental Health Counselor
  • Wallingford, CT
  • NPI 1265934103
  NPD (past)

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1346861168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CHURCH ST",
            "city": "YALESVILLE",
            "state": "CT",
            "postal_code": "064922253",
            "telephone_number": "860-301-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CHURCH ST",
            "city": "YALESVILLE",
            "state": "CT",
            "postal_code": "064922253",
            "telephone_number": "860-301-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPOLA",
        "first_name": "LEANNE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-04",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "58.011017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugene Zachary Bertrand, LMSW
• Aneel Kumar Bherwani, D.M.D.
• Yvette Bunting-Watts
• Centerpiece Behavioral Services
• April Colwell, LCSW
• Kathryn S Cygler, LCSW
• Min Deng, D.M.D.
• Michelle Esposito, M.ED., LPC
• David Leon Fried, DMD
• Paul T Gambardella, DPM

• Clinical Social Worker in Yalesville, CT
• Providers in Yalesville, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.