Kristie Jo Coppedge in Lynnwood - Clinical
Kristie Jo Coppedge - NPI 1093850224
Kristie Jo Coppedge is a Clinical in Lynnwood, Washington. Kristie Jo Coppedge practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kristie Jo Coppedge is 1093850224. The last update date is 2007-08-28.
Kristie Jo Coppedge's current location address is 20102 Cedar Valley Rd, Lynnwood, Washington. You can contact this provider via phone number 4256702102 and fax number 4256708081. The mailing address for Kristie Jo Coppedge is 20102 Cedar Valley Rd, Lynnwood, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kristie Jo Coppedge |
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Address | 20102 Cedar Valley Rd, Lynnwood, Washington |
Phone Number | 4256702102 |
Fax Number | 4256708081 |
Sole Proprietor | Y |
Credentials | LMHC, LICS |
NPI Number Detail
NPI Number | 1093850224 |
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Provider Enumeration Date | 2007-02-21 |
Last Updated Date | 2007-08-28 |
Provider Mailing Address Detail
Address | 20102 Cedar Valley Rd |
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City | Lynnwood |
State | Washington (WA) |
Post Code | 980366333 |
Phone Number | 4256702102 |
Fax Number | 4256708081 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | LW00007408 |
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique 10-digit identifier code assigned to Kristie Jo Coppedge by the Centers for Medicare & Medicaid Services?
The Kristie Jo Coppedge has been issued the NPI (National Provider Identifier) 1093850224 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Kristie Jo Coppedge is geographically located?
The Kristie Jo Coppedge is physically situated at the following location: 20102 Cedar Valley Rd, Lynnwood, WA, 980366333.
What is Kristie Jo Coppedge's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kristie Jo Coppedge's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did Kristie Jo Coppedge receive its 1093850224 assignment from the Centers for Medicare & Medicaid Services?
The Kristie Jo Coppedge was assigned its 1093850224 on 2007-02-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Kristie Jo Coppedge, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kristie Jo Coppedge, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-08-28.
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