Individual provider Active NPI

Carmen Muniz Cooper, LMSW

  • Social Worker
  • Ardsley, NY
National Provider Identifier
1235348095
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
072649 Issued in NY
Practice address
545 Saw Mill River Road
Suite 3a
Ardsley, NY 10502
Phone
(914) 693-4521
Fax
(914) 693-4802
NPI assigned
May 21, 2007
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
Social Worker 104100000X 072649 NY Primary

Addresses

Primary practice location

545 Saw Mill River Road
Suite 3a
Ardsley, NY 10502

Mailing address

545 Saw Mill River Road
Suite 3a
Ardsley, NY 10502
Phone (914) 693-4521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
072649NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235348095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 SAW MILL RIVER ROAD",
            "address_2": "SUITE 3A",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "10502",
            "telephone_number": "914-693-4521",
            "fax_number": "914-693-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 SAW MILL RIVER ROAD",
            "address_2": "SUITE 3A",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "10502",
            "telephone_number": "914-693-4521",
            "fax_number": "914-693-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "CARMEN",
        "middle_name": "MUNIZ",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "072649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardsley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.