Active NPI
Samantha Cooper, LISW-CP
- Social Worker
- Lexington, SC
National Provider Identifier
1285119438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 12768
- Practice address
- 108 Palmetto Park Blvd Ste D
Lexington, SC 29072-7969 - Phone
- (843) 701-2499
- NPI assigned
- Oct 3, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 12768 | SC | Primary |
Addresses
Primary practice location
108 Palmetto Park Blvd Ste D
Lexington, SC 29072-7969
Mailing address
815 Vanguard St
Lexington, SC 29073-9791
Phone (843) 701-2499
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 |
|---|---|---|---|
| 12768 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Purposely Mindful, LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Lexington, SC
- NPI 1336874825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713830400000",
"number": "1285119438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 VANGUARD ST",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290739791",
"telephone_number": "843-701-2499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 PALMETTO PARK BLVD STE D",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290727969",
"telephone_number": "843-701-2499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "SAMANTHA",
"credential": "LISW-CP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-03",
"last_updated": "2024-04-23",
"certification_date": "2024-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SC",
"license": "12768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.