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Contact Information

JILISSA COPELAND, LCSW
552 VALE PARK RD STE A
VALPARAISO, IN46385-2508
 Phone: 219-246-8873
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for JILISSA COPELAND · (Female)

NPI # 1154793669
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 10/23/2015
Last updated 03/26/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 34008560A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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