Provider Demographics
NPI:1174896518
Name:COPELAN, VALERIE (MSW)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:COPELAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:COPELAN
Other - Last Name:COLLINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1950 SAWTELLE BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-7014
Mailing Address - Country:US
Mailing Address - Phone:310-473-4554
Mailing Address - Fax:310-474-7582
Practice Address - Street 1:1950 SAWTELLE BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-7014
Practice Address - Country:US
Practice Address - Phone:310-473-4554
Practice Address - Fax:310-474-7582
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-15
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS118611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical