MISS LAUREN EDNA KOPKA (NPI# 1164671103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164671103 |
| Entity Type | Individual |
| Full Name | MISS LAUREN EDNA KOPKA |
| Credential | LCSW |
| Practice Address |
121 Wakelee Avenue Ansonia CT 06401-6079 |
| Mailing Address |
121 Wakelee Ave Ansonia CT 06401-1198 |
| Practice Telephone | 2035033652 |
| Practice Fax Number | 2035033659 |
| Mailing Telephone | 2035033652 |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2012-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
8009 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004039251 | 05 |
| Street Address |
121 WAKELEE AVENUE |
| City | ANSONIA |
| State | CT |
| Zip Code | 06401-6079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194355693 | Audrey Baehr | Counselor | 121 Wakelee Avenue, Acs, Ansonia, CT 06401-1198 | 2020-01-23 |
| 1770125734 | Matthew Paul Staniewicz | Social Worker | 121 Wakelee Avenue, Acs, Ansonia, CT 06401-1198 | 2019-10-11 |
| 1871009563 | Olivia Ann Goforth | Social Worker | 121 Wakelee Avenue, Ansonia Counseling Services, Ansonia, CT 06401-1198 | 2017-12-18 |
| 1487996716 | Anjali Dhanda | Psychiatry & Neurology | 121 Wakelee Avenue, Ansonia, CT 06401 | 2013-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447858394 | Effective Healthcare Medical P.C. | Clinic/Center | 445 Beaver Street, Apta8, Ansonia, CT 06401 | 2020-10-13 |
| 1477043990 | Pragati Bogra | Student in an Organized Health Care Education/Training Program | 130, Division St, Derby, CT 06401 | 2018-05-10 |
| 1407259286 | Michael Hemenway | Marriage & Family Therapist | 1 Kingston Dr. Unit 1, Ansonia, CT 06401 | 2014-10-07 |
| 1659789634 | Abhay Singh | Student in an Organized Health Care Education/Training Program | 80 Central St, Apt B8, Ansonia, CT 06401 | 2014-07-23 |
| 1881987527 | Raphaela Marquez | Durable Medical Equipment & Medical Supplies | 111 Benz Street, Ansonia, CT 06401 | 2011-05-26 |
| 1841445087 | Gj's Home Care LLC | Home Health | 70 Platt St, Ansonia, CT 06401 | 2008-12-01 |
| 1497849624 | Catholic Charities, Inc. - Archdiocese of Hartford | Clinic/Center | 205 Wakelee Ave., Ansonia, CT 06401 | 2006-10-03 |
| 1700979432 | Erica Harris | Social Worker | 205 Wakelee Avenue, Ansonia, CT 06401 | 2006-10-02 |
| 1730271024 | Paige Reid Porrello | Audiologist | 149 Wakelee Avenue, The Hearing Center LLC, Ansonia, CT 06401 | 2006-09-28 |
| 1972615623 | Bindu Badlani | Dentist | 362 Main Street, Ansonia, CT 06401 | 2006-08-31 |
| Find all providers in zip 06401 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598241713 | Teneika D Brown | Social Worker | 210 Wakelee Ave, Ansonia, CT 06401-1244 | 2018-07-11 |
| 1275052409 | Elizabeth Carmen Rodriguez | Social Worker | 27 Condon Dr, Ansonia, CT 06401-2636 | 2017-09-19 |
| 1093111726 | Marjorie Merzier | Social Worker | 34 N Cliff St, Ansonia, CT 06401-1622 | 2014-11-06 |
| 1639321664 | Emily R Medina | Social Worker | 50 Morningside Dr, Ansonia, CT 06401-1312 | 2008-10-22 |
| 1700979432 | Erica Harris | Social Worker | 205 Wakelee Avenue, Ansonia, CT 06401 | 2006-10-02 |
| 1033211917 | John C Mcgann | Social Worker | 205 Wakelee Ave, Ansonia, CT 06401-1234 | 2006-09-02 |
| 1871009563 | Olivia Ann Goforth | Social Worker | 121 Wakelee Avenue, Ansonia Counseling Services, Ansonia, CT 06401-1198 | 2017-12-18 |
| 1821509803 | Leah Holle | Social Worker | 435 E Main St, Ansonia, CT 06401-1964 | 2017-10-18 |
| 1295180107 | Rosie Laurent | Social Worker | 121 Wakelee Ave, Ansonia, CT 06401-1198 | 2016-04-28 |
| 1659777522 | Rachael Weiner | Social Worker | 435 E Main St, Ansonia, CT 06401-1964 | 2014-11-05 |
| Find all providers in ANSONIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.