Danica Beaulac Copp, LICSW/MA LCSW/VA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904006764 Issued in VA

Practice address

13649 Office PL
102
Woodbridge, VA 22192-4215

Phone

(703) 670-5738

Fax

(703) 670-8213

NPI assigned

Dec 8, 2006

Last updated

Jan 16, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MA, VA, CA, NY, MD5 enrollments

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 5

Specialty

Clinical Social Worker

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Talkspace Provider Network PAGroup PAC ID 5799136701, 249 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Talkspace Provider Network PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
  • NPI 1639814049

  MA, MD, VA

  Medicare reassignment Care Compare group NPD
• Talkspace Medical Services Ny PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
  • NPI 1790475556
  Medicare reassignment NPD
• Talkspace Provider Network Ca PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
  • NPI 1003506866

  CA

  Medicare reassignment NPD
• Renee Burdett, MD PC

  • Multi-Specialty Clinic/Center
  • Woodbridge, VA
  • NPI 1760540967
  NPD (past)
• TMS Neurohealth Centers Woodbridge LLC

  • Clinic/Center
  • Woodbridge, VA
  • NPI 1942662259
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1588723050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13649 OFFICE PL",
            "address_2": "102",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924215",
            "telephone_number": "703-670-5738",
            "fax_number": "703-670-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13649 OFFICE PL",
            "address_2": "102",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924215",
            "telephone_number": "703-670-5738",
            "fax_number": "703-670-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPP",
        "first_name": "DANICA",
        "middle_name": "BEAULAC",
        "name_prefix": "Mrs.",
        "credential": "LICSW/MA LCSW/VA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "112105",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleanor Cooney, RN CPNP
• Sharibeth Cooper, OTR/L
• Dyamond Charlea Copeland
• Kenneth Edward Copeland III, MSW
• Yvonneda Copeland, LCSW
• Sierra Coppage
• Coracol Medtrans LLC
• Lisa Cordova
• Corliss Gillespie, LLC (Happy Minds Counseling and Consulting)
• Manolisa Tandoc Cornel-Manaloto, M.D.

• Clinical Social Worker in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.