Debra Cooper, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW132507 Issued in PA

Practice address

20 S Olive St
Suite 204
Media, PA 19063-3228

Phone

(610) 314-7478

Fax

(484) 445-4149

NPI assigned

Oct 16, 2015

Last updated

Oct 16, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• MG Therapeutic Services LLC

  • Clinical Psychologist
  • Media, PA
  • NPI 1578971750
  NPD (past)

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444953600000",
    "number": "1316318348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 S OLIVE ST",
            "address_2": "SUITE 204",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633228",
            "telephone_number": "610-314-7478",
            "fax_number": "484-445-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S OLIVE ST",
            "address_2": "SUITE 204",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633228",
            "telephone_number": "610-314-7478",
            "fax_number": "484-445-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "DEBRA",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-16",
        "last_updated": "2015-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW132507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Continence Solutions, LLC
• Danielle Convery
• Lynn A Cooke, MD
• Tara Parekh Cooney, NURSE PRACTITIONER
• Daniel J Cooper, LPC, CAADC
• Erin Cooper
• Michael Cooper, DO
• Diamonds Alexus Laquay Copes, M.S.
• Patrick Corcoran
• Elise Marie Cordova, P.T.A.

• Social Worker in Media, PA
• Providers in Media, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.