MRS. MARY ERIN KOPREVICH (NPI# 1417954678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417954678 |
| Entity Type | Individual |
| Full Name | MRS. MARY ERIN KOPREVICH |
| Credential | CRC, LCSW-R |
| Practice Address |
2680 Grand Island Blvd Grand Island NY 14072-1693 |
| Mailing Address |
1961 Harvey Rd Grand Island NY 14072-2108 |
| Practice Telephone | 7165737026 |
| Practice Fax Number | 7167735642 |
| Mailing Telephone | 7165737026 |
| Mailing Fax Number | 7167735642 |
| Enumeration Date | 2005-07-02 |
| Last Update Date | 2009-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
058006 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | UNITED BEHAVIORAL HEALTH | 213352471 | 01 |
| NY | INDEPENDENT HEALTH | 6213037 | 01 |
| NY | UNIVERA | 000 2731 6601 | 01 |
| NY | BC BS OF WNY | 000 528 268 001 | 01 |
| NY | 02247661 | 05 |
| Street Address |
2680 GRAND ISLAND BLVD |
| City | GRAND ISLAND |
| State | NY |
| Zip Code | 14072-1693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043255417 | Tammi Lynn Von Wryeza-ras | Counselor | 2680 Grand Island Blvd, Grand Island, NY 14072-1693 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275183287 | Bodyworksolutions LLC | Physical Therapist | 2099 Grand Island Blvd., Ste B, Grand Island, NY 14072 | 2019-09-12 |
| 1134685084 | Dr. Cassata Eye Care Optometrist, P.C. | Optometrist | 1780 Grand Island Blvd, Grand Island, NY 14072 | 2019-02-15 |
| 1487122875 | Kimberley Catherine Banas | Licensed Practical Nurse | 552 East River Rd, Grand Island, NY 14072 | 2018-11-05 |
| 1538667910 | Lauren Jane Fonte | Specialist | 218 Woodstream Drive, Grand Island, NY 14072 | 2018-01-31 |
| 1750806279 | Susan Ruth Spiesz | In Home Supportive Care | 2970 Sunset Drive, Grand Island, NY 14072 | 2017-08-04 |
| 1265894307 | Corey Yamamura | Case Manager/Care Coordinator | Baseline Rd., Grand Island, NY 14072 | 2016-03-28 |
| 1174890941 | Kristine Ann Taylor | Speech-Language Pathologist | 1100 Ransom Road, Grand Island Central School District, Grand Island, NY 14072 | 2011-11-22 |
| 1710141890 | Jo Ann Marie Mallo | Dietitian, Registered | 452 White Haven Rd, Grand Island, NY 14072 | 2008-07-17 |
| 1972782720 | Jeanne Quintern | Pharmacist | 2325 Grand Island Blvd, Grand Island, NY 14072 | 2007-10-29 |
| 1689894909 | Island Prescription Center,llc | Pharmacy | 1728 Grand Island Blvd, Grand Island, NY 14072 | 2007-04-27 |
| Find all providers in zip 14072 | ||||
| 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 |
|---|---|---|---|---|
| 1700359700 | Mobile Counseling of New York Lcsw, Pllc | Social Worker | 52 Woodstream Dr, Grand Island, NY 14072-1485 | 2019-01-02 |
| 1568577666 | Daniel Novotny | Social Worker | 1811 W 2nd Street, Suite 435, Grand Island, NE 68803-5413 | 2006-08-20 |
| 1073110912 | Jo A Griffith | Social Worker | 2201 N Broadwell Ave, Grand Island, NE 68803-2153 | 2020-10-05 |
| 1326507815 | Stacy Wilson | Social Worker | 52 Woodstream Dr, Grand Island, NY 14072 | 2019-03-14 |
| 1801314869 | Amanda Dubas, LLC | Social Worker | 1917 W Faidley Ave, Grand Island, NE 68803-4642 | 2017-08-30 |
| 1215197801 | Daybreak Enterprises | Social Worker | 702 W Koenig St, Grand Island, NE 68801-6556 | 2008-06-17 |
| 1437356797 | Janelle Kay Brock | Social Worker | 2201 N Broadwell Ave, Grand Island, NE 68803-2153 | 2007-06-29 |
| 1164598611 | David Dean Kreutzer | Social Worker | 2121 N Webb Rd, Suite 200, Grand Island, NE 68803-1751 | 2006-11-27 |
| 1407938442 | Kay Louise Stofer | Social Worker | 2201 N Broadwell Ave, Grand Island, NE 68803-2196 | 2006-10-19 |
| 1710084223 | Ted Kawa Child & Family Counseling PC | Social Worker | 1811 W 2nd Street, Suite 435, Grand Island, NE 68803-5413 | 2006-09-19 |
| Find all providers in GRAND ISLAND | ||||
| City | GRAND ISLAND |
| Zip Code | 14072 |
Please comment or provide details below to improve the information on MRS. MARY ERIN KOPREVICH.
| 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.