Sidney S Copeland

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00005355 Issued in WA

Practice address

5002 Kitsap Way Ste 206
Bremerton, WA 98312-2359

Phone

(360) 405-5050

NPI assigned

Dec 21, 2006

Last updated

Feb 27, 2009By the provider in NPPES

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

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235692800000",
    "number": "1760546600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34584",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241584",
            "telephone_number": "509-241-7346",
            "fax_number": "509-241-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 KITSAP WAY STE 206",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983122359",
            "telephone_number": "360-405-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "SIDNEY",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2009-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00005355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Benjamin Cooke, LMHCA
• Sara Cool
• James R Cooper, M.D. M.P.H
• Joy S Cooper
• Mackenzie Cooper
• Copper Creek Medical
• Thelma Corbin, PTA
• Cory Miguel Cordero, MA
• Anissa Cordova, LMP
• Mickenzy Christine Cordova

• Clinical Social Worker in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; 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.