Provider Demographics
NPI:1114769155
Name:COPELAND, ALANDRA (MSW)
Entity type:Individual
Prefix:
First Name:ALANDRA
Middle Name:
Last Name:COPELAND
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 1:2031 MAYWILL ST APT 235
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-3223
Mailing Address - Country:US
Mailing Address - Phone:757-773-6681
Mailing Address - Fax:
Practice Address - Street 1:2031 MAYWILL ST APT 235
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-3223
Practice Address - Country:US
Practice Address - Phone:757-773-6681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA06593301041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool