Ilene L Cooper is a Clinical in Marietta, Georgia. Ilene L Cooper practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ilene L Cooper is 1134200405. The last update date is 2007-07-08.
Ilene L Cooper's current location address is 3043 S Meadow Ct, Marietta, Georgia. You can contact this provider via phone number 7708337318 and fax number 7705526783. The mailing address for Ilene L Cooper is 3043 S Meadow Ct, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Ilene L Cooper |
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Address | 3043 S Meadow Ct, Marietta, Georgia |
Phone Number | 7708337318 |
Fax Number | 7705526783 |
Sole Proprietor | Y |
Credentials | LCSW-C |
NPI Number Detail
NPI Number | 1134200405 |
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Provider Enumeration Date | 2006-10-17 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 3043 S Meadow Ct |
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City | Marietta |
State | Georgia (GA) |
Post Code | 300625162 |
Phone Number | 7708337318 |
Fax Number | 7705526783 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | CSW003312 |
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 provider identifier assigned to Ilene L Cooper?
The Ilene L Cooper has been issued the NPI (National Provider Identifier) 1134200405 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Ilene L Cooper's physical address?
The Ilene L Cooper is physically located at 3043 S Meadow Ct, in the city of Marietta, GA, with the postal code 300625162.
What is Ilene L Cooper's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ilene L Cooper is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1134200405 to Ilene L Cooper?
The Ilene L Cooper received its 1134200405 assignment from the Centers for Medicare & Medicaid Services on 2006-10-17.
When was the information related to Ilene L Cooper most recently updated or refreshed?
The details pertaining to the Ilene L Cooper, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.