Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1710344254 Deactivated / Inactive NPI Female Practitioner

Corrine Taylor Kopp , LCSW

Social Worker • Mount Laurel, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Corrine Kopp has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 27, 2016
NPI Deactivation Date February 03, 2022
Total Practice Duration ~6 Years of Practice (2016 – 2022)

Professional Overview & Biography Verified Profile Summary

Corrine Kopp, LCSW was a registered Social Worker practicing in Mount Laurel, NJ. Throughout an active medical career spanning 6 years, Corrine Kopp provided care at the practice location at 15000 MIDLANTIC DR until profile deactivation on 2022-02-03.

Practice Location & Contact Primary Location

Practice Address

15000 Midlantic Dr
Suite 101

Mount Laurel, NJ 080541573

Telephone 8563802760
Fax 8567780636
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Mount Laurel, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 16.2 Yrs
Regional Practice Density
18 Specialists

Practicing in Mount Laurel, NJ (4301 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License NJ 44SC05638500

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
Caroline Desanctis , RD, LDN

Dietitian, Registered

NPI 1053862243

Registered Dietitian, Licensed Dietitian Nutritionist

Kendall Keller

Counselor - Mental Health

NPI 1073113544
Barbara Fulgentiz , MA

Counselor - Mental Health

NPI 1134587793

Master of Arts

Corey Parliament , MS, RDN

Dietitian, Registered

NPI 1154784056

Master of Science, Registered Dietitian Nutritionist

Samantha Piazza , LPC

Counselor - Professional

NPI 1174980619

Licensed Professional Counselor

Lauren Rooney , RD

Dietitian, Registered

NPI 1245698729

Registered Dietitian

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 03, 2022

Record deactivated on February 03, 2022

NPI Profile Active January 27, 2016

NPI status registered as active in NPPES database

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Updated Practice Location January 27, 2016

Registered at 15000 MIDLANTIC DR, SUITE 101, MOUNT LAUREL, NJ 080541573 (Tel: 8563802760)

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Updated Business Mailing Address January 27, 2016

Registered at 15000 MIDLANTIC DR, SUITE 101, MOUNT LAUREL, NJ 080541573 (Tel: 8563802760)

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Provider Name / Credentials Updated January 27, 2016

Recorded as CORRINE KOPP, LCSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2016

Social Worker (License #44SC05638500 in NJ)

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Initial NPI Registration & Enumeration January 27, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710344254
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 27, 2016
Last Update: January 27, 2016
Deactivation Date: February 03, 2022

Mailing Address

15000 Midlantic Dr, Suite 101

Mount Laurel, NJ 080541573

Phone: 8563802760

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.