Mr. Phillipe W Copeland, LICSW
Social Worker, Clinical in Mattapan, Massachusetts
1043370968- Practice location
- 201 River St, Mattapan, MA 02126-2713
- Phone
- 617-534-9172
- Fax
- —
- Last updated
- June 25, 2020
Phillipe Wayne Copeland is a Social Worker, Clinical based in Mattapan, MA. Phillipe Wayne Copeland practices in Mattapan, MA and has the professional credentials of LICSW. The NPI Number for Phillipe Wayne Copeland is 1043370968 and holds a License No. 113764 (MA). The current practice location address for Phillipe Wayne Copeland is 201 River St, Mattapan, MA 02126-2713 and can be reached out via phone at 617-534-9172.
Provider Profile Details
- NPI Number
- 1043370968
- Provider Name
- Phillipe Wayne Copeland
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 201 River St, Mattapan, MA 02126-2713
- Phone Number
- 617-534-9172
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 11, 2006
- Last Update Date
- June 25, 2020
- Certification Date
- June 25, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 201 River St
Mattapan, MA 02126-2713 - City
- Mattapan
- State
- Massachusetts
- Zip
- 02126-2713
- Phone Number
- 617-534-9172
Provider Business Mailing Address Details
- Address
- 1010 Massachusetts Avenue
Boston, MA 02118 - City
- Boston
- State
- MA
- Zip
- 02118
- Phone Number
- 617-534-4212
- Fax Number
- 617-534-4221
License Information
- License Number
- 113764
- License State
- MA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Phillipe W Copeland, LICSW?
The NPI number of Mr. Phillipe W Copeland, LICSW is 1043370968. It was assigned on December 11, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. Phillipe W Copeland, LICSW?
Mr. Phillipe W Copeland, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 113764.
Where does Mr. Phillipe W Copeland, LICSW practice?
The practice location is 201 River St, Mattapan, MA 02126-2713. The office can be reached at 617-534-9172 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043370968 directly on the NPPES registry website.