MRS. KELLY ANN COPPOLA LCSW
NPI 1053565663
Social Worker - Clinical in New York, NY

Active since November 10, 2008
1133 BROADWAY, SUITE 1107, NEW YORK, NY 10010(646) 457-1227 Get Directions Write a Review

NPPES record last updated: February 28, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kelly Ann Coppola Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KELLY ANN COPPOLA LCSW (NPI 1053565663) is an individual clinical provider in New York, New York, licensed in New York (078963) and active in the NPI registry since November 2008.

NPPES Registry Identity

NPI1053565663
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. KELLY ANN COPPOLACredential: LCSW
Location Address1133 BROADWAY, SUITE 1107New York, NY 10010-7903
Mailing Address3177 30th St, Apt 3Astoria, NY 11106-2801 · (646) 457-1227
Sole ProprietorYes
Enumeration DateNovember 10, 2008
Last NPPES UpdateFebruary 28, 2012
NPI 1053565663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in NY · 078963 Licensed in NY · 72076937
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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1133 BROADWAY, New York, NY 10010

Other Names 1

Former Name (1)Miss Kelly Montross Lmsw

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1133 BROADWAY, SUITE 521
NEW YORK, NY 10010
Social Worker
1133 BROADWAY, SUITE 815
NEW YORK, NY 10010
Social Worker (Clinical)
1133 BROADWAY, ROOM 537
NEW YORK, NY 10010
Acupuncturist
1133 BROADWAY, SUITE 1107
NEW YORK, NY 10010
Social Worker (Clinical)
1133 BROADWAY, SUITE 1028
NEW YORK, NY 10010
Social Worker (Clinical)
1133 BROADWAY, SUITE 816
NEW YORK, NY 10010
Counselor (Mental Health)
1133 BROADWAY
NEW YORK, NY 10010
Social Worker (Clinical)
1133 BROADWAY, SUITE 1600
NEW YORK, NY 10010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Coppola's NPI number?

The NPI number for Kelly Coppola is 1053565663. It was assigned to this individual provider in the NPPES registry on November 10, 2008. The provider is also known as Miss Kelly Montross Lmsw.

Where is Kelly Coppola located?

Kelly Coppola practices at 1133 Broadway Suite 1107, New York, NY 10010. The listed phone number is (646) 457-1227.

What is Kelly Coppola's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kelly Coppola was last updated on February 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.