Jackson Cooper is a Clinical in Saco, Maine. Jackson Cooper practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jackson Cooper is 1215123047. The last update date is 2007-09-14.
Jackson Cooper's current location address is 50 Moody St, Saco, Maine. You can contact this provider via phone number 8004343000. The mailing address for Jackson Cooper is 50 Moody St, Saco, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jackson Cooper |
|---|---|
| Address | 50 Moody St, Saco, Maine |
| Phone Number | 8004343000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1215123047 |
|---|---|
| Provider Enumeration Date | 2007-09-14 |
| Last Updated Date | 2007-09-14 |
Provider Mailing Address Detail
| Address | 50 Moody St |
|---|---|
| City | Saco |
| State | Maine (ME) |
| Post Code | 40721536 |
| Phone Number | 8004343000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LC6541 |
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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 Jackson Cooper by the Centers for Medicare & Medicaid Services?
The Jackson Cooper has been assigned the NPI (National Provider Identifier) 1215123047. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jackson Cooper located?
The Jackson Cooper is located at 50 Moody St, Saco, ME 40721536.
What is Jackson Cooper's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jackson Cooper is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did Jackson Cooper receive its 1215123047 assignment from the Centers for Medicare & Medicaid Services?
The Jackson Cooper was assigned its 1215123047 on 2007-09-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jackson Cooper most recently updated?
The details pertaining to the Jackson Cooper, including its address, specialty, and other relevant information, were last refreshed on 2007-09-14.