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

Jesse Olson Coppenbarger

Individual provider Clinical Social Worker · NPI 1679118665

Jesse Olson Coppenbarger is a Clinical Social Worker in Jackson, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2019

Practice location Address checks out

3624 Northview Dr
Jackson, MS 39206-5720
Phone: (601) 503-3425
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C8634 (MS)

Record details

NPI number1679118665
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 13, 2019
Last updated in NPPESNovember 13, 2019
Mailing address3624 Northview Dr, Jackson, MS 39206-5720

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