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

Mr. Charles J. Coppolo, LCSW

Individual provider Clinical Social Worker · NPI 1760520068

Mr. Charles J. Coppolo, LCSW is a Clinical Social Worker in Port Jervis, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
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

137 Hammond St
Port Jervis, NY 12771-2608
Phone: (845) 858-8911
Fax: (845) 858-7911
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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 060301 (NY)

Record details

NPI number1760520068
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 1, 2007
Last updated in NPPESJuly 8, 2007

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