Individual provider Active NPI

Judith G Cooper, LCSW

  • Clinical Social Worker
  • Monsey, NY
National Provider Identifier
1265519334
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R80363481 Issued in NY
Practice address
55 College Rd
Monsey, NY 10952
Phone
(845) 425-4713
Fax
(875) 425-4713
NPI assigned
Nov 1, 2006
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R80363481 NY Primary
Clinical Social Worker 1041C0700X 445C04808100 NJ

Addresses

Primary practice location

55 College Rd
Monsey, NY 10952

Mailing address

55 College Rd
Monsey, NY 10952
Phone (845) 425-4713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060509000080 NY Practitioner - Clinical Social Worker 7113938945 Practice locations: Bronx, NY; Monsey, NY; Spring Valley, NY
I20101012000393 NJ Practitioner - Clinical Social Worker 7113938945 Practice locations: Teaneck, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

145 Ayers CT
Teaneck, NJ 07666-5103
Phone (914) 588-5822

5234 Netherland Ave
Bronx, NY 10471-2810
Phone (914) 588-5822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
445C04808100NJMDClinical Social Worker
R80363481NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Generations Counseling & Care Management LLC Past Accepting new patients
Randolph Bleiwas CSW, PC Clinical Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265519334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 COLLEGE RD",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "10952",
            "telephone_number": "845-425-4713",
            "fax_number": "875-425-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 COLLEGE RD",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "10952",
            "telephone_number": "845-425-4713",
            "fax_number": "875-425-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JUDITH",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R80363481",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "445C04808100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monsey, NY

Sources for this page

Verify at the official NPI Registry.