# MRS. MARY ERIN KOPREVICH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1417954678
- **Gender:** F
- **Credential:** CRC, LCSW-R

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 058006 | NY | Yes |

## Other

- **Enumeration date:** 07/02/2005
- **Last updated:** 10/14/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000 2731 6601 | UNIVERA | NY |
| 01 | — | 000 528 268 001 | BC BS OF WNY | NY |
| 05 | — | 02247661 | — | NY |
| 01 | — | 213352471 | UNITED BEHAVIORAL HEALTH | NY |
| 01 | — | 6213037 | INDEPENDENT HEALTH | NY |