Provider Demographics
NPI:1801564356
Name:KOPPEL, DANIELLE PEARL (MSW)
Entity type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:PEARL
Last Name:KOPPEL
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 HARVARD CT
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-1924
Mailing Address - Country:US
Mailing Address - Phone:516-295-2540
Mailing Address - Fax:
Practice Address - Street 1:925 HARVARD CT
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-1924
Practice Address - Country:US
Practice Address - Phone:516-295-2540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-31
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty