Individual provider Active NPI

Amy Lynn Kopel, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1831196625
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09244 Issued in MD
Practice address
6301 N Charles St
Suite 8
Baltimore, MD 21212-1047
Phone
(410) 377-6370
Fax
(410) 377-6516
NPI assigned
Jul 7, 2005
Last updated
Mar 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 09244 MD Primary

Addresses

Primary practice location

6301 N Charles St
Suite 8
Baltimore, MD 21212-1047

Mailing address

1107 Kenilworth Dr
Ste 208
Towson, MD 21204-2136
Phone (410) 821-9757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040723000528 MD Practitioner - Clinical Social Worker 7315927910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1107 Kenilworth Dr
Suite 208
Towson, MD 21204-2136
Phone (410) 878-7490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09244MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Amy L Kopel, LLC Clinical CurrentSince Mar 12, 2004 Accepting new patients

Locations

6301 N Charles St
Ste 8
Baltimore, MD 21212
Phone (410) 377-6370

1107 Kenilworth Dr
Ste 208
Towson, MD 21204
Phone (410) 370-0299

Interoperability endpoints

  • Direct secure messaging: amykopel@tdh.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1831196625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 KENILWORTH DR",
            "address_2": "STE 208",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042136",
            "telephone_number": "410-821-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 N CHARLES ST",
            "address_2": "SUITE 8",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212121047",
            "telephone_number": "410-377-6370",
            "fax_number": "410-377-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPEL",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "09244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.