Lindsay D Cooper, LLMSW, PH.D.
Individual provider Active NPI Social Worker · Utica, MI
NPI 1124260583 · NPPES record last updated Apr 1, 2009
Key facts
- NPI
- 1124260583
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 6801090706 (MI)
- Practice address
- 11111 Hall Rd
Suite 303
Utica, MI 48317-5711 - Phone
- (586) 997-3153
- Fax
- (586) 997-4956
- NPI assigned
- Apr 1, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wentworth and Associates PC
Practice addresses (Care Compare)
11111 Hall Rd
Suite 300
Utica, MI 48317-5726
Phone (586) 997-3153
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161028000548 | MI | Practitioner - Clinical Social Worker | 5092093930 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801090706 | MI | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801090706 | MI | Yes |
Addresses
Primary practice location
11111 Hall Rd
Suite 303
Utica, MI 48317-5711
Mailing address
11111 Hall Rd
Suite 303
Utica, MI 48317-5711
Phone (586) 997-3153
Other providers in Utica, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.