Individual provider Active NPI

Keara Katherine Cooper, LCSW

  • Clinical Social Worker
  • Newport News, VA
National Provider Identifier
1023708302
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904015254 Issued in VA
Practice address
445 Oriana Rd Ste 2
Newport News, VA 23608-3742
Phone
(646) 604-1153
Fax
(276) 300-1350
NPI assigned
May 10, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904015254 VA Primary

Addresses

Primary practice location

445 Oriana Rd Ste 2
Newport News, VA 23608-3742

Mailing address

445 Oriana Rd Ste 2
Newport News, VA 23608-3742
Phone (757) 603-1153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240412001052 VA Practitioner - Clinical Social Worker 8527407311 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rediscover You LLC CurrentSince Sep 5, 2023 Accepting new patients
Rhodium Care Group Inc CurrentSince Mar 2, 2024 Accepting new patients
Paramount Counseling Inc Past Accepting new patients

Locations

8830 Virginia St
Amelia Ct Hse, VA 23002
Phone (804) 561-5611

11817 Canon Blvd
Ste 304
Newport News, VA 23606
Phone (757) 932-7720

445 Oriana Rd
Ste 2
Newport News, VA 23608
Phone (757) 291-7272

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1023708302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 ORIANA RD STE 2",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236083742",
            "telephone_number": "757-603-1153",
            "fax_number": "276-300-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 ORIANA RD STE 2",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236083742",
            "telephone_number": "646-604-1153",
            "fax_number": "276-300-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "KEARA",
        "middle_name": "KATHERINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-10",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904015254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.