Provider Demographics
NPI:1194866459
Name:COPANS, ALEX CHRISTINE (LICSW)
Entity type:Individual
Prefix:MS
First Name:ALEX
Middle Name:CHRISTINE
Last Name:COPANS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 ADAMS CT
Mailing Address - Street 2:
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-1001
Mailing Address - Country:US
Mailing Address - Phone:978-697-6874
Mailing Address - Fax:
Practice Address - Street 1:72 CABOT ST
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-4900
Practice Address - Country:US
Practice Address - Phone:978-232-9600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1108871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical