Individual provider Active NPI

Karey Angela Cooper

  • Clinical Social Worker
  • Florence, KY
National Provider Identifier
1114675170
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
256201 Issued in KY
Practice address
2022 Morningside Dr
Florence, KY 41042-9115
Phone
(859) 429-7636
NPI assigned
Mar 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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 256201 KY Primary

Addresses

Primary practice location

2022 Morningside Dr
Florence, KY 41042-9115

Mailing address

2022 Morningside Dr
Florence, KY 41042-9115
Phone (859) 429-7636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
256201KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Home of Northern Kentucky CurrentSince Jan 24, 2024 Accepting new patients
Children'S Home of Northern Kentucky PastSince Jan 24, 2024 Accepting new patients

Locations

4836 Idlewild Rd
Burlington, KY 41005
Phone (859) 261-8768

525 W 5th St
Ste 219
Covington, KY 41011
Phone (859) 261-8768

200 Home Rd
Covington, KY 41011
Phone (859) 261-8768

103 Barnes Rd
Ste 1
Williamstown, KY 41097
Phone (859) 261-8768

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1114675170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 MORNINGSIDE DR",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410429115",
            "telephone_number": "859-429-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 MORNINGSIDE DR",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410429115",
            "telephone_number": "859-429-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "KAREY",
        "middle_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "256201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

Verify at the official NPI Registry.