MR. ROBERT KOUPAL (NPI# 1174516991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174516991 |
| Entity Type | Individual |
| Full Name | MR. ROBERT KOUPAL |
| Credential | LCSW |
| Practice Address |
2102 E 38th St Davenport IA 52807-1135 |
| Practice Telephone | 5633594049 |
| Practice Fax Number | 5633594069 |
| Mailing Telephone | 5633594049 |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2013-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
00529 | IA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
149006072 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 1582221 | 05 | |
| IL | FIRST HEALTH AND CCN NUMB | 2216745 | 01 |
| IL | 0582221 | 05 | |
| IL | BLUE CROSS IOWA IL NUMBER | 99862 | 01 |
| IL | JOHN DEERE NUMBER | IL0199 | 01 |
| IA | BLUE CROSS IOWA IA NUMBER | 34752 | 01 |
| IL | BLUE CROSS ILLINOIS NUMBE | 149006072 | 01 |
| Street Address |
2102 E 38TH ST |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52807-1135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649711052 | J Austin Williamson | Psychologist | 2102 E 38th St, Davenport, IA 52807-1135 | 2017-03-17 |
| 1538539366 | Jessica Marie Schultz | Psychologist | 2102 E 38th St, Davenport, IA 52807-1135 | 2015-10-06 |
| 1801174859 | George P Verry | Social Worker | 2102 E 38th St, Davenport, IA 52807-1135 | 2011-07-25 |
| 1316182793 | Julia Marmion | Psychologist | 2102 E 38th St, Davenport, IA 52807-1135 | 2008-12-12 |
| 1629102280 | Julie Jenks Kettmann | Counselor | 2102 E 38th St, Davenport, IA 52807-1135 | 2007-03-15 |
| 1477563252 | Maria Judith Correa-kaiser | Psychologist | 2102 E 38th St, Davenport, IA 52807-1135 | 2006-08-08 |
| 1619984358 | Charles S Hayes | Psychologist | 2102 E 38th St, Davenport, IA 52807-1135 | 2006-08-02 |
| 1639183478 | Stanley S Smith | Clinical Neuropsychologist | 2102 E 38th St, Davenport, IA 52807-1135 | 2006-07-28 |
| 1629090675 | Psychology Health Group | Counselor | 2102 E 38th St, Davenport, IA 52807-1135 | 2006-07-25 |
| 1215957618 | Wayne Michael Sliwa | Psychologist | 2102 E 38th St, Davenport, IA 52807 | 2006-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710455423 | Sarah Duvall | Pharmacist | 2790 East 53rd Street, Davenport, IA 52807 | 2018-11-12 |
| 1932686375 | Costco Wholesale Corporation | Hearing Aid Equipment | 2790 East 53rd St., Davenport, IA 52807 | 2018-07-27 |
| 1902258379 | Secure Dental II, LLC | Dentist | 5025 Utica Ridge Rd, Suite 103, Davenport, IA 52807 | 2016-07-08 |
| 1003288663 | Kristin Landram | Pharmacist | 4011 E 53rd Street, Davenport, IA 52807 | 2015-10-22 |
| 1912384918 | Toshia Johnson | Counselor | 3515 Spring Street, Davenport, IA 52807 | 2015-04-29 |
| 1366849440 | Dennis Aaron Brown | Counselor | 2322 E. Kimberly Rd., Ste. 200 N., Davenport, IA 52807 | 2014-12-04 |
| 1033514914 | Rachel J Staron | Counselor | 2028 E 38th St Ste 3-5, Davenport, IA 52807 | 2014-11-04 |
| 1447651518 | Anthony B. Dexter | Chiropractor | 2178 E Kimberly Rd Ste 400, Davenport, IA 52807 | 2014-09-09 |
| 1932517588 | Alan Christopher Rubach | Dentist | 3435 Spring St Ste 2, Davenport, IA 52807 | 2014-07-28 |
| 1851707459 | Allison Maxwell | Behavioral Analyst | 4959 Utica Ridge Rd, Davenport, IA 52807 | 2014-07-03 |
| Find all providers in zip 52807 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070777 | Carlie Shannon | Social Worker | 736 Federal St., Ste. 1-103, Davenport, IA 52803-5768 | 2020-10-12 |
| 1154945756 | Stephanie Kay Marie Dorton | Social Worker | 2611 W 35th St, Davenport, IA 52806-5222 | 2020-05-31 |
| 1104473321 | Lisa Beatrice Meotti | Social Worker | 439 Chelsea Ave, Davenport, FL 33837-8911 | 2019-08-22 |
| 1295201754 | Lifeskills Connection Inc. | Social Worker | 2800 Eastern Ave Bldg G, Davenport, IA 52803-2012 | 2018-10-22 |
| 1093201444 | Revolution Counseling Services LLC | Social Worker | 601 Brady St Ste 204, Davenport, IA 52803-5251 | 2018-07-09 |
| 1487027405 | Steven Albert Sylvia | Social Worker | 406 Thousand Oaks Blvd, Davenport, FL 33896-8125 | 2015-11-13 |
| 1558777680 | Compassion Therapy Services, LLC | Social Worker | 3475 Jersey Ridge Rd Ste 2, Davenport, IA 52807-2293 | 2014-07-09 |
| 1881024875 | Alexander Nathan Hogg | Social Worker | 1312 Esplanade Ave, Davenport, IA 52803-4156 | 2013-11-12 |
| 1407119548 | Tamara Whiteman Haberman | Social Worker | 321 Boxwood Dr, Davenport, FL 33837-5501 | 2012-06-22 |
| 1326313289 | Jennifer Noto | Social Worker | 2064 Sherbrook Ave, Davenport, FL 33837-4401 | 2012-03-12 |
| Find all providers in DAVENPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.