Individual provider · Type 1 NPI

Nicole Coppack, LMSW

Clinical Social Worker · Massapequa, NY

NPI number 1407319544 Active

Practice location

201 N Delaware Ave
Massapequa, NY 11758-1869

Mailing address

119 Union Ave
Amityville, NY 11701-3025

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X084337 (NY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1407319544

Nicole Coppack, LMSW's National Provider Identifier is 1407319544, issued on Apr 6, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Massapequa, NY. The record was last updated on Apr 6, 2019.