Samantha Coppola, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17641 Issued in SC

Practice address

170 Meeting St Ste 110
Charleston, SC 29401-3178

Phone

(814) 558-3989

NPI assigned

Aug 3, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Samantha Bodamer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1427668706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 MEETING ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294013153",
            "telephone_number": "804-482-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MEETING ST STE 110",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294013178",
            "telephone_number": "814-558-3989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 N Glebe Rd Fl 5",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222031853",
            "country_code": "US",
            "telephone_number": "804-482-1711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COPPOLA",
        "first_name": "SAMANTHA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904012199",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "17641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "BODAMER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wanda S Copeland, PA C
• Angela Copeman, ED.S
• Renee S Copley, PA-C
• Holly Erin Coppage, MS
• Anthony Coppola, MD
• Cora South Carolina LLC (CORA Physical Therapy - West Ashley)
• Coram Healthcare Corporation of South Carolina
• Rebecca Corbett
• Joanna Lynn Corbit, O.D.
• Patricia Ann Corcoran, FNP-C

• Clinical Social Worker in Charleston, SC
• Providers in Charleston, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.