Individual provider Active NPI

Casey K. Cooper

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1245613702
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089779 Issued in NY
Practice address
808 Union St Ste 3a
Brooklyn, NY 11215-1386
Phone
(917) 697-7109
NPI assigned
Jul 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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 089779 NY Primary

Addresses

Primary practice location

808 Union St Ste 3a
Brooklyn, NY 11215-1386

Mailing address

9 Prospect Park W Apt 9C
Brooklyn, NY 11215-1741
Phone (917) 697-7109

Other practice location 1

36 Plaza St E Ste 1A
Brooklyn, NY 11238-5039
Phone (917) 679-7109

Other practice location 2

348 13th St Ste 503
Brooklyn, NY 11215-6177
Phone (718) 788-2461 ext. 1523

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
089779NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1245613702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 PROSPECT PARK W APT 9C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151741",
            "telephone_number": "917-697-7109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 UNION ST STE 3A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151386",
            "telephone_number": "917-697-7109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36 Plaza St E Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112385039",
            "country_code": "US",
            "telephone_number": "917-679-7109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "348 13th St Ste 503",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112156177",
            "country_code": "US",
            "telephone_number": "718-788-2461 x1523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "CASEY",
        "middle_name": "K.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-02",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; 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.