Sandra Kopman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R028405 Issued in NY

Practice address

1000 Park Blvd
Suite 201
Massapequa Park, NY 11762-2740

Phone

(516) 541-4066

Fax

(631) 673-0924

NPI assigned

Nov 12, 2006

Last updated

Jul 8, 2007By 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 5

Medicare fee-for-service enrollment

Enrolled in NY

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

Fordham University School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518038678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 ARBOR LN",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465136",
            "telephone_number": "516-541-4066",
            "fax_number": "631-673-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PARK BLVD",
            "address_2": "SUITE 201",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622740",
            "telephone_number": "516-541-4066",
            "fax_number": "631-673-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPMAN",
        "first_name": "SANDRA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R028405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01502065",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "069208",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI-BMP",
            "identifier": "7400536",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA HEALTH PLANS",
            "identifier": "75904",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN",
            "identifier": "P399180",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna B. Kimick, IBCLC, RLC
• Charles H King, PH.D.
• Larry Kirschner, RN
• David Kommor, D.C.
• Nicole M Koperda, NCSP, MA/CAGS
• Jacqueline Kopp-Accurso, LMT
• Donna Marie Kowalczyk-Falcone, PT
• Karen Ann Kramer-Klein, MACCCSLP
• Catharine Kremm
• Rebecca Kustin, LMSW

• Clinical Social Worker in Massapequa Park, NY
• Providers in Massapequa Park, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.