Active NPIIndividual providerSole proprietor

Sarah Coppenrath, LICSW

Social Worker, Clinical in Brockton, Massachusetts

NPI Number1902415813
Practice location
165 Quincy St, Brockton, MA 02302-2988
Fax
—
Last updated
December 15, 2022

Sarah Coppenrath is a Social Worker, Clinical based in Brockton, MA. Sarah Coppenrath practices in Brockton, MA and has the professional credentials of LICSW. The NPI Number for Sarah Coppenrath is 1902415813 and holds a License No. 000224082 (MA). The current practice location address for Sarah Coppenrath is 165 Quincy St, Brockton, MA 02302-2988 and can be reached out via phone at 508-897-2166.

Provider Profile Details

NPI Number
1902415813
Provider Name
Sarah Coppenrath
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
165 Quincy St, Brockton, MA 02302-2988
Phone Number
508-897-2166
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 27, 2020
Last Update Date
December 15, 2022
Certification Date
December 15, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
165 Quincy St
Brockton, MA 02302-2988
Zip
02302-2988
Phone Number
508-897-2166
Brockton, MA 02302Get directions →

Provider Business Mailing Address Details

Address
1165 Ferry St
Marshfield, MA 02050-1876
City
Marshfield
State
MA
Zip
02050-1876
Phone Number
339-793-3976

License Information

License Number (1)
000224082
License State (1)
MA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
124701
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Social Worker, Clinical providers near Brockton, MA

View all Social Worker, Clinical providers in Brockton →

Frequently Asked Questions

What is the NPI number of Sarah Coppenrath, LICSW?

The NPI number of Sarah Coppenrath, LICSW is 1902415813. It was assigned on July 27, 2020 and is currently active in the NPPES registry.

What is the specialty of Sarah Coppenrath, LICSW?

Sarah Coppenrath, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 000224082.

Where does Sarah Coppenrath, LICSW practice?

The practice location is 165 Quincy St, Brockton, MA 02302-2988. The office can be reached at 508-897-2166 (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 1902415813 directly on the NPPES registry website.

Browse related providers