Ginnel Louise Kopsick, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

081576 Issued in NY

Practice address

28 Spring St
Broadalbin, NY 12025-2173

Phone

(518) 669-8149

NPI assigned

Aug 27, 2010

Last updated

Apr 18, 2023By 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 2

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

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Professional Medical Concierge Services PLLCGroup PAC ID 0840614020, 75 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Professional Medical Concierge Services, PLLC

  • Family Medicine Physician
  • Saratoga Springs, NY
  • NPI 1841812310

  Clinical

  Medicare reassignment Care Compare group NPD
• Adirondack Psychotherapy Services LCSW PLLC

  • Community/Behavioral Health Agency
  • Broadalbin, NY
  • NPI 1932803079
  NPD Authorized official
• Lee and Burack OB/GYN, P.C.

  • Obstetrics & Gynecology Physician
  • Albany, NY
  • NPI 1801983788
  NPD (past)
• Schoharie County

  dba Schoharie County Mental Health Clinic

  • Clinical Social Worker
  • Schoharie, NY
  • NPI 1508819079
  NPD (past)

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1578879508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 183",
            "city": "BROADALBIN",
            "state": "NY",
            "postal_code": "120250183",
            "telephone_number": "518-669-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 SPRING ST",
            "city": "BROADALBIN",
            "state": "NY",
            "postal_code": "120252173",
            "telephone_number": "518-669-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPSICK",
        "first_name": "GINNEL",
        "middle_name": "LOUISE",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-27",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04686839",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0300428",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gail Lee Decicco, MS CCC-SLP
• Samantha Edgar, MS, RD, CDN
• Deborah Ann Frascatore, OTR
• Jeanine Stoner Hess, FNP
• Jill Hulett, MS CCC-SLP
• Susan C Lamanna Verzulli, PH.D.
• Jessica Ann Lape-Schwab, LCSW
• Sheri Litchfield
• Laurie A Marcellus, LPN
• Emily Marotta

• Clinical Social Worker in Broadalbin, NY
• Providers in Broadalbin, 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 Apr 18, 2023; 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.