Individual
CORY COPPERSMITH
Active
Individual
CORY COPPERSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
SW134378
PA
1041C0700X
Clinical Social Worker
Primary
CW028267
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW134378
STATE BOARD OF SOCIAL WORK LSW
PA
Enumeration date
01/15/2019
Last updated
09/05/2023
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