MR. DARYL PATRICK COPPADGE (LCSW) – Clinical Social Worker, NPI 1235684747
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,438 CLINICAL SOCIAL WORKER in PA
Provider Addresses for MR. DARYL PATRICK COPPADGE (LCSW)
250 S 17th St Ste 101
Philadelphia, PA 191036336
Phone: (215) 545-7800
Type: Location
118 N Haddon Ave
Haddonfield, NJ 080332306
Phone: (856) 254-9983
Type: Location
770 WOODLANE RD
WESTAMPTON, NJ 080603804
Phone: (609) 267-5928
Type: Location
250, South 17th Street, Rittenhouse Square, Philadelphia, Philadelphia County, Pennsylvania, 19103, United States
SUITE101
PHILADELPHIA, PA 19103
Phone: (215) 545-7800
Fax: (215) 545-7870
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-05-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180509002585 | I | Clinical Social Worker | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes | 173 | 14 | $0 |
Insurance plans in this area (ZIP 19103)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | NJ | |
| Mental Health Counselor | NJ | |
| Nurse Practitioner | NJ | |
| P S Y C H I A T R Y | NJ | |
| Nurse Practitioner | NJ | |
| - | PA | |
| Mental Health Counselor | NJ | |
| Nurse Practitioner | PA | |
| - | NJ | |
| Clinical Social Worker | NJ |
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