| Doctor Name: | MS. KATHI L KOPACZ |
| NPI Number: | 1508970302 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW-C |
| License Number: | 04259 |
| Business Practice Address: | 164 W Main St Suite A New Market, MD - 217746204 |
| Business Phone Number: | 3017043546 |
| Business Fax Number: | 3016683076 |
| Mailing Address: | 6135 Baldridge Ter, FREDERICK |
| State: | MD |
| Postal Code: | 217015858 |
| Phone Number: | 3017043546 |
| Fax Number: | 3016683076 |
| NPI Enumeration Date: | 08/18/2006 |
| NPI Last Update Date: | 09/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 04259 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |