Tamyra Noelle Cooper, MSW
Individual provider Active NPI Clinical Social Worker · Cheboygan, MI
NPI 1265098693 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1265098693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801104324 (MI)
- Practice address
- 217 S Huron St
Cheboygan, MI 49721-1919 - Phone
- (231) 268-1149
- NPI assigned
- May 10, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801104324 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aces Pediatric Behavioral Health PLLC | Clinical | Current |
Accepting new patients |
Locations
10823 N Straits Hwy
#B
Cheboygan, MI 49721
Phone (231) 268-1149
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801104324 | MI | Yes |
Addresses
Primary practice location
217 S Huron St
Cheboygan, MI 49721-1919
Mailing address
217 S Huron St
Cheboygan, MI 49721-1919
Phone (231) 268-1149
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | tcooper.msw@outlook.com | Direct | Forward Path Counseling |
Other providers in Cheboygan, MI
- Community Memorial Hospital
- Community Memorial Hospital
- Community Memorial Hospital
- Community Memorial Hospital
- Constructive Empathy, PLLC
- Jennifer L Couillard
- Marvin K Coy
- Abbey Renee Cramer
- Richard Crawford
- Michele Lynn Creech
All providers in Cheboygan, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.