Active NPI
Susan Cooper, M.S.W.
- Clinical Social Worker
- Orlando, FL
National Provider Identifier
1245592203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1041C0700X
- Practice address
- 10502 Satellite Blvd Ste D
Orlando, FL 32837-8479 - Phone
- (800) 814-1398
- NPI assigned
- Jun 14, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1041C0700X | FL | Primary |
Addresses
Primary practice location
10502 Satellite Blvd Ste D
Orlando, FL 32837-8479
Mailing address
10502 Satellite Blvd Ste D
Orlando, FL 32837-8479
Phone (800) 814-1398
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ISW 4129 | Other | FL | STATE OF FL DEPT OF HEALTH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1041C0700X | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339632000000",
"number": "1245592203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10502 SATELLITE BLVD STE D",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328378479",
"telephone_number": "800-814-1398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10502 SATELLITE BLVD STE D",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328378479",
"telephone_number": "800-814-1398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "SUSAN",
"name_prefix": "Mrs.",
"credential": "M.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-14",
"last_updated": "2012-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "1041C0700X",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF FL DEPT OF HEALTH",
"identifier": "ISW 4129",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.