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

Nicholas Stephen Kopp

Individual provider Clinical Social Worker · NPI 1720097132

Nicholas Stephen Kopp is a Clinical Social Worker in Baltimore, Maryland. Qualified in 1987, 39 years ago. Practices with Lifespan Behavioral Health Services PC, a 29-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
39
Licensed in
MD
In the registry since
2006
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Practice location Address checks out

630 W Fayette St
Baltimore, MD 21201-1543
Phone: (410) 328-2207
Fax: (410) 328-9233
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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 06528 (MD)

Record details

NPI number1720097132
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 5, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Lifespan Behavioral Health Services Pc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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