Ilene L Cooper in Marietta - Clinical

Ilene L Cooper - NPI 1134200405

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
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
Provider Enumeration Date 2006-10-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3043 S Meadow Ct
City Marietta
State Georgia (GA)
Post Code 300625162
Phone Number 7708337318
Fax Number 7705526783

Provider's Primary Taxonomy Detail

Speciality Clinical
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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FAQs about Ilene L Cooper

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.

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