Katherine M Coppeto, LMSW
Individual provider Active NPI Social Worker · Setauket, NY
NPI 1598513871 · NPPES record last updated May 10, 2024
Key facts
- NPI
- 1598513871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 094745-01 (NY)
- Practice address
- 21 Technology Dr
Setauket, NY 11733-4000 - Phone
- (631) 846-0317
- NPI assigned
- May 10, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 094745-01 | NY | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 094745-01 | NY | Yes |
Addresses
Primary practice location
21 Technology Dr
Setauket, NY 11733-4000
Mailing address
68 Cannon Dr
Holbrook, NY 11741-5219
Phone (347) 401-3129
Other providers in Setauket, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2024. 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.