Active NPI
Sarah Elise Cooper, LCSW, MSW
- Clinical Social Worker
- Sarasota, FL
National Provider Identifier
1326569096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14609
- Practice address
- 1753 Ringling Blvd
Sarasota, FL 34236-6874 - Phone
- (941) 366-2224
- NPI assigned
- Jul 3, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | |||
| Clinical Social Worker | 1041C0700X | 14609 | FL | Primary |
Addresses
Primary practice location
1753 Ringling Blvd
Sarasota, FL 34236-6874
Mailing address
2688 Fruitville Rd
Sarasota, FL 34237-5223
Other practice location 1
2688 Fruitville Rd
Sarasota, FL 34237-5223
Phone (941) 366-2224 ext. 622
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022354300 | Medicaid | FL |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14609 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1326569096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2688 FRUITVILLE RD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342375223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1753 RINGLING BLVD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342366874",
"telephone_number": "941-366-2224"
}
],
"practiceLocations": [
{
"address_1": "2688 Fruitville Rd",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342375223",
"country_code": "US",
"telephone_number": "941-366-2224 x622",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOPER",
"first_name": "SARAH",
"middle_name": "ELISE",
"credential": "LCSW, MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-03",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "14609",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022354300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
- Shannon Cooney
- William M Cooney, M.D.
- Cooper Creek Facility LLC (Cooper Creek Care Center)
- Daniel M Cooper, MD PA
- Paula Cooper, PHD
- Shanice Lanee' Cooper
- Dori H Copeland, P.A
- Steven J Copeland, RPH
- Cora Health Services Inc (CORA Physical Therapy - Palmer Ranch)
- Cora Health Services Inc. (CORA Physical Therapy - North Sarasota)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.