Jill Diane Cooper is a Clinical in Berkeley, California. Jill Diane Cooper practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jill Diane Cooper is 1205969870. The last update date is 2007-07-08.
Jill Diane Cooper's current location address is 1135 Walnut St, Berkeley, California. You can contact this provider via phone number 5105249440. The mailing address for Jill Diane Cooper is 1135 Walnut St, Berkeley, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jill Diane Cooper |
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Address | 1135 Walnut St, Berkeley, California |
Phone Number | 5105249440 |
Fax Number | |
Sole Proprietor | Y |
Credentials | L.C.S.W. |
NPI Number Detail
NPI Number | 1205969870 |
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Provider Enumeration Date | 2007-03-13 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1135 Walnut St |
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City | Berkeley |
State | California (CA) |
Post Code | 947072616 |
Phone Number | 5105249440 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | LCS 13269 |
Definition: 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, certif |
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What is the unique identifier code issued to Jill Diane Cooper by the Centers for Medicare & Medicaid Services?
The Jill Diane Cooper has been assigned the NPI (National Provider Identifier) 1205969870. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jill Diane Cooper's facilities are situated?
The facilities of Jill Diane Cooper are physically located at the following address: 1135 Walnut St, Berkeley, CA, 947072616.
What is the Jill Diane Cooper's area of specialization and corresponding taxonomy classification?
The Jill Diane Cooper's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
When was the Jill Diane Cooper's 1205969870 issued?
The Jill Diane Cooper's 1205969870 was issued on 2007-03-13.
When was the information related to Jill Diane Cooper most recently updated or refreshed?
The details pertaining to the Jill Diane Cooper, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC