Individual provider Active NPI

Sandra Jean Coplon, LCSW, LMFT

  • Social Worker
  • Virginia Beach, VA
National Provider Identifier
1902911209
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
0904005643 Issued in VA
Practice address
One Columbus Center
Suite 679
Virginia Beach, VA 23462
Phone
(757) 490-7801
Fax
(757) 523-0653
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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 0904005643 VA Primary

Addresses

Primary practice location

One Columbus Center
Suite 679
Virginia Beach, VA 23462

Mailing address

1 Columbus Ctr
Suite 679
Virginia Beach, VA 23462-6722
Phone (757) 635-6093

Other identifiers 1

IdentifierTypeStateIssuer
010199417MedicaidVA

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Claudia Brown, Inc Past Accepting new patients
Kimberly Brodie & Assoc., Inc PastSince May 1, 2004 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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251763200000",
    "number": "1902911209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COLUMBUS CTR",
            "address_2": "SUITE 679",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626722",
            "telephone_number": "757-635-6093",
            "fax_number": "757-523-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE COLUMBUS CENTER",
            "address_2": "SUITE 679",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23462",
            "telephone_number": "757-490-7801",
            "fax_number": "757-523-0653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPLON",
        "first_name": "SANDRA",
        "middle_name": "JEAN",
        "credential": "LCSW, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2009-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0904005643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010199417",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.