Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Kristie Jo Coppedge, LICSW

Individual provider Clinical Social Worker · NPI 1093850224

Kristie Jo Coppedge, LICSW is a Clinical Social Worker in Port Angeles, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2007
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

105 1/2 E 1st St
Port Angeles, WA 98362-2929
Phone: (360) 797-3564
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 LW00007408 (WA)

Record details

NPI number1093850224
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedFebruary 21, 2007
Last updated in NPPESSeptember 22, 2026
Certification dateSeptember 22, 2026

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