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

Kelly Coulopoulos

Individual provider Clinical Social Worker · NPI 1942089164

Kelly Coulopoulos is a Clinical Social Worker in Valparaiso, Indiana. Qualified in 2010, 16 years ago. Practices with Life and Trauma Survivor Center LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
16
Licensed in
IN
In the registry since
2023
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Practice location Address checks out

402 Wall St Ste 42
Valparaiso, IN 46383-2572
Phone: (219) 510-8043
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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 34009747A (IN)

Record details

NPI number1942089164
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 26, 2023
Last updated in NPPESSeptember 26, 2023
Certification dateSeptember 26, 2023
Mailing address1336 Lake Charles Ave, Chesterton, IN 46304-9763

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Life And Trauma Survivor Center Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Valparaiso