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

Mrs. Kelly Ann Coppola, LCSW

Individual provider Clinical Social Worker · NPI 1053565663

Mrs. Kelly Ann Coppola, LCSW is a Clinical Social Worker in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008
Specialties on file
2
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

1133 Broadway Ste 1107
New York, NY 10010-7903 Not confirmed with CMS for 14 years — call before visiting
Phone: (646) 457-1227
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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 078963 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 72076937 (NY)

Record details

NPI number1053565663
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 10, 2008
Last updated in NPPESFebruary 28, 2012

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