Mr Charles J Coppolo, LCSW in Port Jervis, NY

Mr Charles J Coppolo, LCSW is a Social Worker - Clinical based in Port Jervis, New York. Mr Charles J Coppolo is licensed to practice in New York (license number 060301) and his current practice location is 137 Hammond St, Port Jervis, New York. He can be reached at his office (for appointments etc.) via phone at (845) 858-8911.

NPI number for Mr Charles J Coppolo is 1760520068 and his current mailing address is 137 Hammond St, Port Jervis, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760520068.

Contact Information

	Mr Charles J Coppolo, LCSW
	137 Hammond St, Port Jervis, NY 12771-2608
	(845) 858-8911
	(845) 858-7911

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Charles J Coppolo
Gender	Male
Speciality	Social Worker - Clinical
Location	137 Hammond St, Port Jervis, New York
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1760520068
Provider Enumeration Date: 02/01/2007
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Charles J Coppolo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760520068	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	060301 (New York)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Charles J Coppolo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Charles J Coppolo, LCSW 137 Hammond St, Port Jervis, NY 12771-2608 Ph: (845) 858-8911	Mr Charles J Coppolo, LCSW 137 Hammond St, Port Jervis, NY 12771-2608 Ph: (845) 858-8911

Reviews and Comments

Social Worker in Port Jervis, NY

Mr. Lawrence Edward Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15 Shin Hollow Rd, Port Jervis, NY 12771 Phone: 845-866-5542 Fax: 845-858-3837
Timothy Richard Gregory, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 56 Front St, Port Jervis, NY 12771 Phone: 845-858-3253
Lacey Anne Trimble, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 146 Pike St, Port Jervis, NY 12771 Phone: 845-291-2604
Mrs. Christine Smallin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 146 Pike Street, Port Jervis, NY 12771 Phone: 845-858-1456 Fax: 845-858-1459
Ms. Victoria Caruso, LCSWR Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 146 Pike St, Port Jervis, NY 12771 Phone: 845-858-1456
Genevieve Clineman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 146 Pike St, Port Jervis, NY 12771 Phone: 845-858-1459
Nichole C Delavega, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 146 Pike St, Port Jervis, NY 12771 Phone: 845-858-1456

Mr Charles J Coppolo, LCSW - Clinical Social Worker in Port Jervis, NY