Carol M Copeland, PHD, LCSW, BCD, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

015556 Issued in TX

Practice address

Wilford Hall Ambulatory Surg Center
1100 Wilford Hall Loop
Jbsa Lackland, TX 78236

Phone

(210) 292-6041

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1720175516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 OLIVIA VW",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782604305",
            "telephone_number": "703-944-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WILFORD HALL AMBULATORY SURG CENTER",
            "address_2": "1100 WILFORD HALL LOOP",
            "city": "JBSA LACKLAND",
            "state": "TX",
            "postal_code": "78236",
            "telephone_number": "210-292-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "CAROL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW, BCD, ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "015556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Lynn Conner, M.D.
• Stacy Cook, MD
• Rachel Nicole Cooper, MS, MA
• William Ellis Cooper
• Violet A Copado, ACNP
• Joseph E. Cornett, MD
• Sabrina Cotton, LCSW
• Veronica Couture, M.D.
• Denise Renee Covert, FNP-C
• Kiersten Craig, MD

• Clinical Social Worker in Jbsa Lackland, TX
• Providers in Jbsa Lackland, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.