Individual provider Active NPI

Amy Kopczynski, LICSW

  • Social Worker
  • Hopkinton, MA
National Provider Identifier
1881746592
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
113332 Issued in MA
Practice address
16 Hearthstone Rd
Hopkinton, MA 01748-1942
Phone
(617) 304-1005
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 113332 MA Primary

Addresses

Primary practice location

16 Hearthstone Rd
Hopkinton, MA 01748-1942

Mailing address

16 Hearthstone Rd
Hopkinton, MA 01748-1942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20110315000893 MA Practitioner - Clinical Social Worker 3274715032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

16 Hearthstone Rd
Hopkinton, MA 01748-1942
Phone (617) 304-1005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113332MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Amy Kopczynski Licsw LLC CurrentSince Oct 28, 2023 Accepting new patients
Milford Franklin Counseling Services Inc Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1881746592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HEARTHSTONE RD",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017481942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 HEARTHSTONE RD",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017481942",
            "telephone_number": "617-304-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPCZYNSKI",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "113332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinton, MA

Sources for this page

Verify at the official NPI Registry.