Jessica Meagan Coppage, LICSW, PIP
Individual provider Active NPI Clinical Social Worker · Birmingham, AL
NPI 1578032199 · NPPES record last updated Nov 14, 2018
Key facts
- NPI
- 1578032199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 1406-4111C (AL)
- Practice address
- 700 19TH St S
Birmingham, AL 35233-1927 - Phone
- (205) 933-8101
- NPI assigned
- Nov 14, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1406-4111C | AL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C2 Counseling LLC | Clinical | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1406-4111C | AL | Yes |
Addresses
Primary practice location
700 19TH St S
Birmingham, AL 35233-1927
Mailing address
804 Forest Hills CT
Alabaster, AL 35007-4523
Phone (205) 413-7657
Other providers in Birmingham, AL
- Lauren Brown Copeland
- Melanie M Copeland
- Nikole Patrice Copeland
- Joyce Copelin
- Kiana Lila Copland
- Lindsey Coppiano
- Emily Katherine Corbin
- Susan Corbin
- James Nolan Corbitt
- Caroline Cordell
All providers in Birmingham, AL · Clinical Social Worker in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.