Active NPI
Darren L. Cooper, DSW, LCSW
- Clinical Social Worker
- Douglasville, GA
National Provider Identifier
1285149047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW005543
- Practice address
- 8336 Office Park Dr Ofc K
Douglasville, GA 30134-6937 - Phone
- (678) 458-1759
- NPI assigned
- Dec 2, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW005543 | GA | Primary |
Addresses
Primary practice location
8336 Office Park Dr Ofc K
Douglasville, GA 30134-6937
Mailing address
3002 Olde Tabby Dr
Douglasville, GA 30135-9223
Phone (678) 458-1759
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW005543 | GA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olivet Behavioral Health Services, LLC | Clinical | 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
- Douglasville, GA
- NPI 1730679127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525996800000",
"number": "1285149047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3002 OLDE TABBY DR",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301359223",
"telephone_number": "678-458-1759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8336 OFFICE PARK DR OFC K",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301346937",
"telephone_number": "678-458-1759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "DARREN",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "DSW, LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-02",
"last_updated": "2018-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW005543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.