Individual provider Active NPI

Tamar A Cooper, LISW-S

  • Clinical Social Worker
  • Cleveland, OH
National Provider Identifier
1265567457
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0005575-SUPV Issued in OH
Practice address
11900 Fairhill Rd
Suite 300
Cleveland, OH 44120-1062
Phone
(216) 373-1605
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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 I.0005575-SUPV OH Primary

Addresses

Primary practice location

11900 Fairhill Rd
Suite 300
Cleveland, OH 44120-1062

Mailing address

15480 Durkee Rd
Huntsburg, OH 44046-9733
Phone (440) 739-0115

Other practice location 1

9826 Washington St
Chagrin Falls, OH 44023-5401
Phone (440) 708-0188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070322000005 OH Practitioner - Clinical Social Worker 7719080290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jones-Wood Psychological Associates IncGroup PAC ID 6507086253, 22 clinicians

Practice addresses (Care Compare)

9826 Washington St
Chagrin Falls, OH 44023-5401
Phone (440) 708-0188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jones-Wood Psychological Associates, Inc. CurrentSince Feb 18, 2025 Accepting new patients
Benjamin Rose Institute on Aging Past Accepting new patients

Locations

9826 Washington St
Chagrin Falls, OH 44023
Phone (440) 708-0188

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1265567457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15480 DURKEE RD",
            "city": "HUNTSBURG",
            "state": "OH",
            "postal_code": "440469733",
            "telephone_number": "440-739-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 FAIRHILL RD",
            "address_2": "SUITE 300",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441201062",
            "telephone_number": "216-373-1605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9826 Washington St",
            "address_purpose": "LOCATION",
            "city": "Chagrin Falls",
            "state": "OH",
            "postal_code": "440235401",
            "country_code": "US",
            "telephone_number": "440-708-0188",
            "fax_number": "440-708-0368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "TAMAR",
        "middle_name": "A",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0005575-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.