Individual
MRS. SAMANTHA COPPOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
170 MEETING ST STE 110, CHARLESTON, SC 29401-3178
(814) 558-3989
Mailing address
170 MEETING ST, CHARLESTON, SC 29401-3153
(804) 482-1711
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904012199
VA
1041C0700X
Clinical Social Worker
Primary
17641
SC
1041C0700X
Clinical Social Worker
Primary
CW020608
PA
Other
Enumeration date
08/03/2020
Last updated
03/18/2026
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