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

Individual provider Clinical Social Worker · NPI 1407319544

Mrs. Nicole Coppack, LMSW is a Clinical Social Worker in Massapequa, New York. Qualified in 2011, 15 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
15
Licensed in
NY
In the registry since
2019
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

201 N Delaware Ave
Massapequa, NY 11758-1869
Phone: (516) 753-3691
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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 084337 (NY)

Record details

NPI number1407319544
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorYes
NPI enumeratedApril 6, 2019
Last updated in NPPESApril 6, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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