Kathy A Cooper is a Clinical in Carbondale, Illinois. Kathy A Cooper practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kathy A Cooper is 1558340257. The last update date is 2007-07-08.
Kathy A Cooper's current location address is 1110 Cedar Ct, Carbondale, Illinois. You can contact this provider via phone number 6184574144 and fax number 6184576091. The mailing address for Kathy A Cooper is 1110 Cedar Ct, Carbondale, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kathy A Cooper |
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Address | 1110 Cedar Ct, Carbondale, Illinois |
Phone Number | 6184574144 |
Fax Number | 6184576091 |
Sole Proprietor | X |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1558340257 |
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Provider Enumeration Date | 2006-01-11 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1110 Cedar Ct |
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City | Carbondale |
State | Illinois (IL) |
Post Code | 629015300 |
Phone Number | 6184574144 |
Fax Number | 6184576091 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
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 Kathy A Cooper's unique identification number?
The Kathy A Cooper has been assigned the NPI (National Provider Identifier) Number 1558340257 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Kathy A Cooper is physically located?
The Kathy A Cooper is physically situated at the following address: 1110 Cedar Ct, Carbondale, IL, 629015300.
What is the Kathy A Cooper's specialty and taxonomy code?
The Kathy A Cooper's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Kathy A Cooper receive its 1558340257 assignment from the Centers for Medicare & Medicaid Services?
The Kathy A Cooper was assigned its 1558340257 by the Centers for Medicare & Medicaid Services on 2006-01-11.
As of what date were the Kathy A Cooper's details last updated?
The information pertaining to the Kathy A Cooper, including its address, specialty, and other details, was most recently updated on 2007-07-08.