Individual provider Active NPI

Erin Marie Cooney, LCSW - R

  • Clinical Social Worker
  • Watertown, NY
National Provider Identifier
1033294848
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R070100-1 Issued in NY
Practice address
171 E Hoard St
North Elementary - Childrens Clinic
Watertown, NY 13601-1515
Phone
(315) 786-1767
Fax
(315) 786-1856
NPI assigned
Oct 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R070100-1 NY Primary

Addresses

Primary practice location

171 E Hoard St
North Elementary - Childrens Clinic
Watertown, NY 13601-1515

Mailing address

22850 Fralick Rd
Watertown, NY 13601-9355
Phone (315) 786-1767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20140703000353 NY Practitioner - Clinical Social Worker 7012132194 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R070100-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Family Health Center, Inc. CurrentSince Feb 18, 2014 Accepting new patients
North Country Family Health Center, Inc. CurrentSince Feb 18, 2014 Accepting new patients

Locations

13180 US Route 11
Adams Center, NY 13606
Phone (315) 583-5200

5402 Dayan St
Ste 100
Lowville, NY 13367
Phone (315) 376-4600

423 N Main St
Mannsville, NY 13661

1220 Coffeen St
Watertown, NY 13601
Phone (315) 786-1042

1237 Washington St
Watertown, NY 13601
Phone (315) 785-3700

1335 Washington St
Watertown, NY 13601
Phone (315) 785-3700

1351 Washington St
Watertown, NY 13601
Phone (315) 785-3700

171 E Hoard St
Watertown, NY 13601
Phone (315) 785-3750

238 Arsenal St
Watertown, NY 13601
Phone (315) 782-9450

Interoperability endpoints

  • Direct secure messaging: erin.cooney.1@21901.direct.athenahealth.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033294848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22850 FRALICK RD",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136019355",
            "telephone_number": "315-786-1767",
            "fax_number": "315-786-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 E HOARD ST",
            "address_2": "NORTH ELEMENTARY - CHILDRENS CLINIC",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136011515",
            "telephone_number": "315-786-1767",
            "fax_number": "315-786-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COONEY",
        "first_name": "ERIN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW - R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R070100-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

Verify at the official NPI Registry.