Krystal Lyn Copeland, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

68010963497 Issued in MI

Practice address

20303 Kelly Rd
Detroit, MI 48225-1206

Phone

(313) 245-7000

NPI assigned

Aug 3, 2011

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518652800000",
    "number": "1821376179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 E LARNED ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482073905",
            "telephone_number": "313-704-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20303 KELLY RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482251206",
            "telephone_number": "313-245-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "KRYSTAL",
        "middle_name": "LYN",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-03",
        "last_updated": "2018-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "68010963497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coordinated Counseling Services LLC
• Cope Transport LLC
• Zebulun Cope, DO
• Latagia Copeland-Tyronce, MSW
• Desi Alonzo Copeland, MSW SOCIAL WORK LLC
• Lorraine Copeland
• Shelia R Copeland
• William K Copeland
• Copeland'S Home Care
• Coras Comfort & Care

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.