1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Social Worker
  6. NPI Profile

CAROLYN THERESE COPPEDGE LCSW
NPI 1417542333
Social Worker - Clinical in Jacksonville, FL

Active since March 03, 2021PECOS EnrolledAccepts Medicare Assignment
820 PRUDENTIAL DR STE 512, JACKSONVILLE, FL 32207(904) 376-3800 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 21, 2025, Aug 5, 2022, May 13, 2022 and 2 more (5 updates tracked since 2021).

About Carolyn Therese Coppedge Lcsw NPPES

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

CAROLYN THERESE COPPEDGE LCSW (NPI 1417542333) is an individual clinical provider in Jacksonville, Florida, licensed in Florida (SW16367) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1417542333
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCAROLYN THERESE COPPEDGECredential: LCSW
Location Address820 PRUDENTIAL DR STE 512Jacksonville, FL 32207-8207
Mailing AddressPo Box 748519Atlanta, GA 30374-8519 · (904) 376-3800 · Fax (904) 376-3998
Phone(904) 376-3800
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 3, 2021
Last NPPES UpdateNovember 21, 20255 updates tracked since enumeration
NPPES CertifiedNovember 21, 2025
✔ NPI 1417542333 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 FL · SW16367
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.
820 PRUDENTIAL DR STE 512, Jacksonville, FL 32207
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carolyn Therese Coppedge Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779989389
PECOS Enrollment IDI20210907003634
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 32207 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 $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 16

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

MAARIA CHEHAB
Counselor (Mental Health)
820 PRUDENTIAL DR STE 512
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
YOLANDA BLOUNT
Counselor (Mental Health)
820 PRUDENTIAL DR STE 512
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
CHLOE MARLIES PETERS LCSW
Social Worker (Clinical)
820 PRUDENTIAL DR STE 512
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
VISNJA DURDEVIC
Counselor (Mental Health)
820 PRUDENTIAL DR STE 512
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
ANASTASIA MOORE
Social Worker (Clinical)
820 PRUDENTIAL DR STE 512
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
MARCIE THOMAS
Counselor (Mental Health)
820 PRUDENTIAL DR STE 512
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
MS. LINDA GAMBLE SPADARO LMHC
Counselor (Mental Health)
820 PRUDENTIAL DR STE 512
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
SHEENA ETIENNE
Counselor (Mental Health)
820 PRUDENTIAL DR STE 512
JACKSONVILLE, FL 32207
Duval County (904) 376-3800

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 Carolyn Coppedge's NPI number?

The NPI number for Carolyn Coppedge is 1417542333. It was assigned to this individual provider in the NPPES registry on March 3, 2021.

Where is Carolyn Coppedge located?

Carolyn Coppedge practices at 820 Prudential Dr Ste 512, Jacksonville, FL 32207. The listed phone number is (904) 376-3800.

What is Carolyn Coppedge's specialty?

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

Is Carolyn Coppedge enrolled in Medicare?

Yes. Carolyn Coppedge is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Carolyn Coppedge accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Carolyn 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 Carolyn Coppedge was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.