Active NPIIndividual providerSole proprietor

Nicole Kopacz

Social Worker, Clinical in Manchester, New Hampshire

NPI Number1538832514
Practice location
235 Hanover St Ste 5, Manchester, NH 03104-6138
Fax
—
Last updated
September 21, 2022

Nicole Kopacz is a Social Worker, Clinical based in Manchester, NH. Nicole Kopacz practices in Manchester, NH. The NPI Number for Nicole Kopacz is 1538832514 and holds a License No. 221574 (MA). The current practice location address for Nicole Kopacz is 235 Hanover St Ste 5, Manchester, NH 03104-6138 and can be reached out via phone at 603-505-8133.

Provider Profile Details

NPI Number
1538832514
Provider Name
Nicole Kopacz
Provider Entity Type
Individual
Gender
Female
Address
235 Hanover St Ste 5, Manchester, NH 03104-6138
Phone Number
603-505-8133
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Other Names
Nicole Tuson (Former Name)
Provider Enumeration Date
July 27, 2021
Last Update Date
September 21, 2022
Certification Date
September 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
235 Hanover St Ste 5
Manchester, NH 03104-6138
Zip
03104-6138
Phone Number
603-505-8133
Manchester, NH 03104Get directions →

Provider Business Mailing Address Details

Address
84 W Broadway Ste 200
Derry, NH 03038-2323
City
Derry
State
NH
Zip
03038-2323
Phone Number
603-505-8133

License Information

License Number (1)
221574
License State (1)
MA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
124667
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X
License Number (3)
2762
License State (3)
NH
Taxonomy (3)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Nicole Kopacz?

The NPI number of Nicole Kopacz is 1538832514. It was assigned on July 27, 2021 and is currently active in the NPPES registry.

What is the specialty of Nicole Kopacz?

Nicole Kopacz is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 221574.

Where does Nicole Kopacz practice?

The practice location is 235 Hanover St Ste 5, Manchester, NH 03104-6138. The office can be reached at 603-505-8133 (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 1538832514 directly on the NPPES registry website.

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