Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CHARLES J. COPPOLO, LCSW
Active Sole ProprietorMR. CHARLES J. COPPOLO, LCSW is a Clinical Social Worker healthcare provider located in PORT JERVIS, New York. NPI 1760520068 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · PORT JERVIS, NY
Registration Details
- NPI Number
- 1760520068
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 1, 2007 (19.346354109762 yrs)
- Last Updated
- Jul 8, 2007
- License
-
060301 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
137 HAMMOND STPORT JERVIS, NY, 127712608Browse NY providers · Browse ZIP 12771
- Phone
- 8458588911
- Fax
- 8458587911
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in PORT JERVIS, NY
| Name | Credential | NPI |
|---|---|---|
| MS. MARJORIE PHYLLIS DRIAN | LCSW | 1821086604 |
| MR. BRUCE L COOPERSMITH | LCSW | 1891783049 |
| MR. LAWRENCE EDWARD SMITH | LCSW | 1033161963 |
| MS. DAVERNE JUDGE | LCSW | 1841211315 |
| TIMOTHY RICHARD GREGORY | LCSW | 1083623177 |
| MS. YESENIA RIVERA | LCSW | 1851460869 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.