Active NPI
Bruce A. Copeland, LCSW
- Clinical Social Worker
- Suffolk, VA
National Provider Identifier
1871879593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904003110
- Practice address
- 122 Birdie Dr
Suffolk, VA 23434-9282 - Phone
- (757) 478-6680
- NPI assigned
- Oct 26, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0812000377 | VA | |
| Clinical Social Worker | 1041C0700X | 0904003110 | VA | Primary |
| School Social Worker | 1041S0200X | 0904003110 | VA |
Addresses
Primary practice location
122 Birdie Dr
Suffolk, VA 23434-9282
Mailing address
122 Birdie Dr
Suffolk, VA 23434-9282
Phone (757) 478-6680
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0812000377 | VA | MD | Counselor |
| 0904003110 | VA | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319587200000",
"number": "1871879593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 BIRDIE DR",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234349282",
"telephone_number": "757-478-6680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 BIRDIE DR",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234349282",
"telephone_number": "757-478-6680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPELAND",
"first_name": "BRUCE",
"middle_name": "A.",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-26",
"last_updated": "2011-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "VA",
"license": "0812000377",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904003110",
"primary": true
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "VA",
"license": "0904003110",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.