Kathi L Kopacz, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

04259 Issued in MD

Practice address

164 W Main St
Suite a
New Market, MD 21774-6204

Phone

(301) 704-3546

Fax

(301) 668-3076

NPI assigned

Aug 18, 2006

Last updated

Sep 10, 2008By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

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

Tulane University School of Medicine, 1979

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Mental Health Assoc of Frederick Cty

  • Clinical Social Worker
  • Frederick, MD
  • NPI 1568902260
  NPD (past)
• The Center for Integrative Healthcare, LLC

  • Clinical Social Worker
  • Frederick, MD
  • NPI 1952434730
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1508970302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6135 BALDRIDGE TER",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015858",
            "telephone_number": "301-704-3546",
            "fax_number": "301-668-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 W MAIN ST",
            "address_2": "SUITE A",
            "city": "NEW MARKET",
            "state": "MD",
            "postal_code": "217746204",
            "telephone_number": "301-704-3546",
            "fax_number": "301-668-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPACZ",
        "first_name": "KATHI",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "04259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216631300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jan L Kennedy, LCSW-C
• Ricki Kern, LCSW-C
• Lydia Kieffer
• Kinera Foundation Inc
• Brendan Paul Koning, APRN, CPNP
• Kaytlin Lapsa, LCSW-C
• James Paul Lee, MD
• Stacey A Lenisa, D.C.
• Linganore Counseling and Wellness, LLC
• Linganore Counseling and Wellness, LLC

• Clinical Social Worker in New Market, MD
• Providers in New Market, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.