Provider Demographics
NPI:1407435845
Name:KOPIZENSKI, ROXANNE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ROXANNE
Middle Name:
Last Name:KOPIZENSKI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MEISENWEG 11
Mailing Address - Street 2:
Mailing Address - City:METTMANN
Mailing Address - State:NRW
Mailing Address - Zip Code:40822
Mailing Address - Country:DE
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:MEISENWEG 11
Practice Address - Street 2:
Practice Address - City:METTMANN
Practice Address - State:NRW
Practice Address - Zip Code:40822
Practice Address - Country:DE
Practice Address - Phone:160-657-5142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-05
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA656651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical