1. Home
  2. Directory
  3. New York
  4. Port Jervis
  5. Social Worker
  6. NPI Profile

MR. CHARLES J. COPPOLO LCSW
NPI 1760520068
Social Worker - Clinical in Port Jervis, NY

Active since February 01, 2007
137 HAMMOND ST, PORT JERVIS, NY 12771(845) 858-8911(845) 858-7911 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Charles J. Coppolo Lcsw NPPES

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

MR. CHARLES J. COPPOLO LCSW (NPI 1760520068) is an individual clinical provider in Port Jervis, New York, licensed in New York (060301) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1760520068
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. CHARLES J. COPPOLOCredential: LCSW
Location Address137 HAMMOND STPort Jervis, NY 12771-2608
Mailing Address137 Hammond StPort Jervis, NY 12771-2608 · (845) 858-8911 · Fax (845) 858-7911
Phone(845) 858-8911
Fax(845) 858-7911
Sole ProprietorYes
Enumeration DateFebruary 1, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1760520068 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 NY · 060301
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.
137 HAMMOND ST, Port Jervis, NY 12771
Open in Google Maps ↗

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 Charles Coppolo's NPI number?

The NPI number for Charles Coppolo is 1760520068. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Charles Coppolo located?

Charles Coppolo practices at 137 Hammond St, Port Jervis, NY 12771. The listed phone number is (845) 858-8911.

What is Charles Coppolo'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 Charles Coppolo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.