Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carolyn Therese Coppedge, LCSW

Individual provider Clinical Social Worker · NPI 1417542333

Carolyn Therese Coppedge, LCSW is a Clinical Social Worker in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2021
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

820 Prudential Dr Ste 512
Jacksonville, FL 32207-8207
Phone: (904) 376-3800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW16367 (FL)

Record details

NPI number1417542333
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 3, 2021
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025

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