Raven Coots, MSW, LCSW-A

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

4130 Oleander Dr Ste 100
Wilmington, NC 28403-6844

Phone

(910) 515-6957

NPI assigned

Nov 7, 2017

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1366955841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 OLEANDER DR STE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 OLEANDER DR STE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036844",
            "telephone_number": "910-515-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOTS",
        "first_name": "RAVEN",
        "credential": "MSW, LCSW-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle G Cooper, RD
• Reese Cooper
• Sara E Cooper, HIS
• Sheila Cassioli Cooper, OD
• William H Cooper IV, M.D.
• Ashley Danielle Copeland
• Tsahia Jasmine Copeland, MS, SLP
• Cora North Carolina, LLC
• Demonique Corbett, LCAS, CFE
• Lindsey Corbett, DNP, FNP

• Clinical Social Worker in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; 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.