Kathy A Cooper in Carbondale - Clinical

Kathy A Cooper - NPI 1558340257

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
Address 1110 Cedar Ct, Carbondale, Illinois
Phone Number 6184574144
Fax Number 6184576091
Sole Proprietor X
Credentials LCSW

NPI Number Detail

NPI Number 1558340257
Provider Enumeration Date 2006-01-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1110 Cedar Ct
City Carbondale
State Illinois (IL)
Post Code 629015300
Phone Number 6184574144
Fax Number 6184576091

Provider's Primary Taxonomy Detail

Speciality Clinical
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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FAQs about Kathy A Cooper

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.

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