Michael T. Coppens, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW016976 Issued in PA

Practice address

401 Pilgrim LN
Suite 100
Drexel Hill, PA 19026-5000

Phone

(484) 476-7520

Fax

(610) 853-9947

NPI assigned

Sep 20, 2013

Sex

Male

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)

Enrolled

Interoperability endpoints

• Direct secure messaging: dcp.michaelcoppens@141748.advancedmd-direct.com

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

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379635200000",
    "number": "1740616812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 PILGRIM LN",
            "address_2": "SUITE 103",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190265000",
            "telephone_number": "484-476-7520",
            "fax_number": "610-853-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 PILGRIM LN",
            "address_2": "SUITE 100",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190265000",
            "telephone_number": "484-476-7520",
            "fax_number": "610-853-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPENS",
        "first_name": "MICHAEL",
        "middle_name": "T.",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-20",
        "last_updated": "2013-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Concierge and Remote Lab Services LLC
• Sean Francis Connell, OD
• Christina M Conti, MSN, CRNP-PC
• Continued Quality Home Care LLC
• Christina Cook, ATC
• Corus Pharmacy and Healthcare Products, Inc.
• Joseph Costa
• Carol Cameron Cready-Pyle, LCSW
• Cro-Maat Behavior Services
• Aleshia Crump, MSN, FNP-BC

• Clinical Social Worker in Drexel Hill, PA
• Providers in Drexel Hill, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; 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.