Individual provider · Type 1 NPI

Pamela Susan Koppel, LCSW

Clinical Social Worker · Santa Rosa, CA

NPI number 1912246760 Active

Practice location

175 Concourse Blvd
Santa Rosa, CA 95403-8217

Mailing address

7613 Washington Ave
Sebastopol, CA 95472-3625

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS19176 (CA)

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 1912246760

Pamela Susan Koppel, LCSW's National Provider Identifier is 1912246760, issued on Feb 13, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Santa Rosa, CA. The record was last updated on Feb 13, 2013.