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JESSE OLSON COPPENBARGER
NPI 1679118665
Social Worker - Clinical in Jackson, MS

Active since November 13, 2019
3624 NORTHVIEW DR, JACKSON, MS 39206(601) 503-3425 Get Directions Write a Review

NPPES record last updated: November 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jesse Olson Coppenbarger NPPES

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

JESSE OLSON COPPENBARGER (NPI 1679118665) is an individual clinical provider in Jackson, Mississippi, licensed in Mississippi (C8634) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1679118665
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJESSE OLSON COPPENBARGER
Location Address3624 NORTHVIEW DRJackson, MS 39206-5720
Mailing Address3624 Northview DrJackson, MS 39206-5720 · (601) 503-3425
Phone(601) 503-3425
Sole ProprietorYes
Enumeration DateNovember 13, 2019
✔ NPI 1679118665 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 MS · C8634
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.
3624 NORTHVIEW DR, Jackson, MS 39206
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Jesse Coppenbarger's NPI number?

The NPI number for Jesse Coppenbarger is 1679118665. It was assigned to this individual provider in the NPPES registry on November 13, 2019.

Where is Jesse Coppenbarger located?

Jesse Coppenbarger practices at 3624 Northview Dr, Jackson, MS 39206. The listed phone number is (601) 503-3425.

What is Jesse Coppenbarger'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 Jesse Coppenbarger was last updated on November 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.