Individual
MS. H. DIANA KOPICKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
122 E CAMDEN WYOMING AVE, CAMDEN, DE 19934-1302
(302) 335-4150
(302) 335-4150
Mailing address
2680 BOWERS BEACH RD, FREDERICA, DE 19946-1335
(302) 335-4150
(308) 335-4150
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
44SC05239300
NJ
1041C0700X
Clinical Social Worker
CW014576
PA
1041C0700X
Clinical Social Worker
Primary
Q1-0000736
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000035856 1041C0700
—
DE
01
—
2455127000
BCBS
DE
Enumeration date
02/07/2007
Last updated
07/09/2007
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