Individual provider · Type 1 NPI

Jesse Olson Coppenbarger

Clinical Social Worker · Jackson, MS

NPI number 1679118665 Active

Practice location

3624 Northview Dr
Jackson, MS 39206-5720

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC8634 (MS)

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 1679118665

Jesse Olson Coppenbarger's National Provider Identifier is 1679118665, issued on Nov 13, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jackson, MS. The record was last updated on Nov 13, 2019.