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

Individual provider Clinical Social Worker · NPI 1043370968

Mr. Phillipe Wayne Copeland, LICSW is a Clinical Social Worker in Mattapan, Massachusetts. Works from 2 locations. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2006
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

201 River St
Mattapan, MA 02126-2713
Phone: (617) 534-9172
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10 Gove St, East Boston, MA 02128-1920 — (617) 568-5800

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 113764 (MA)

Record details

NPI number1043370968
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedDecember 11, 2006
Last updated in NPPESJune 25, 2020
Certification dateJune 25, 2020

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