Provider Demographics
NPI:1528077104
Name:KOPLAN, CARA L (LCSW)
Entity type:Individual
Prefix:MS
First Name:CARA
Middle Name:L
Last Name:KOPLAN
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 1:9458 154TH ROAD NORTH
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33478
Mailing Address - Country:US
Mailing Address - Phone:561-748-1209
Mailing Address - Fax:561-748-1209
Practice Address - Street 1:900 E INDIANTOWN RD STE 310
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477-5153
Practice Address - Country:US
Practice Address - Phone:561-748-1209
Practice Address - Fax:561-748-1209
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW20811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical