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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KRISTIE JO COPPEDGE LICSW
NPI 1093850224
Social Worker - Clinical in Port Angeles, WA

Active since February 21, 2007PECOS Enrolled
105 1/2 E 1ST ST, PORT ANGELES, WA 98362(360) 797-3564 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Kristie Jo Coppedge Licsw NPPES

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

KRISTIE JO COPPEDGE LICSW (NPI 1093850224) is an individual clinical provider in Port Angeles, Washington, licensed in Washington (LW00007408) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093850224
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRISTIE JO COPPEDGECredential: LICSW
Location Address105 1/2 E 1ST STPort Angeles, WA 98362-2929
Mailing Address105 1/2 E 1st StPort Angeles, WA 98362-2929 · (360) 797-3564
Phone(360) 797-3564
Sole ProprietorYes
Enumeration DateFebruary 21, 2007
Last NPPES UpdateSeptember 22, 2026
NPPES CertifiedSeptember 22, 2026
✔ NPI 1093850224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WA · 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, 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.
105 1/2 E 1ST ST, Port Angeles, WA 98362
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Other Names 1

Professional Name (2)Kris Coppedge Licsw

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristie Jo Coppedge Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98362 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $57.27 – $172.80
Typical copayment $0.00 (range $14.31 – $43.20)
Most-billed visit code NA
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

MS. VANESSA M. BURROWS LMT
Massage Therapist
105 1/2 E 1ST ST
PORT ANGELES, WA 98362
Clallam County (360) 461-6326

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 Kristie Coppedge's NPI number?

The NPI number for Kristie Coppedge is 1093850224. It was assigned to this individual provider in the NPPES registry on February 21, 2007. The provider is also known as Kris Coppedge Licsw.

Where is Kristie Coppedge located?

Kristie Coppedge practices at 105 1/2 E 1st St, Port Angeles, WA 98362. The listed phone number is (360) 797-3564.

What is Kristie Coppedge's specialty?

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

Is Kristie Coppedge enrolled in Medicare?

Yes. Kristie Coppedge is registered in the Medicare PECOS enrollment system.

What insurance does Kristie Coppedge accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Kristie Coppedge as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kristie Coppedge was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.