Active NPI
Crystal Lakeina Cooper, MSW, LSW, CDCA
- Social Worker
- Kent, OH
National Provider Identifier
1376017269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.1803183
- Practice address
- 275 Martinel Dr
Kent, OH 44240-4380 - Phone
- (330) 673-6339
- NPI assigned
- Jan 14, 2019
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | S.1803183 | OH | Primary |
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
275 Martinel Dr
Kent, OH 44240-4380
Mailing address
PO Box 1042
Cuyahoga Falls, OH 44223-0042
Phone (216) 713-6545
Other practice location 1
807 E Washington St
Medina, OH 44256-3338
Phone (216) 932-2800
Other practice location 2
1796 W Waterford Ct Apt 1425
Akron, OH 44313-8391
Phone (216) 352-3236
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: No
- 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 |
|---|---|---|---|
| S.1803183 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726185600000",
"number": "1376017269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1042",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442230042",
"telephone_number": "216-713-6545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 MARTINEL DR",
"city": "KENT",
"state": "OH",
"postal_code": "442404380",
"telephone_number": "330-673-6339"
}
],
"practiceLocations": [
{
"address_1": "807 E Washington St",
"address_purpose": "LOCATION",
"city": "Medina",
"state": "OH",
"postal_code": "442563338",
"country_code": "US",
"telephone_number": "216-932-2800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1796 W Waterford Ct Apt 1425",
"address_purpose": "LOCATION",
"city": "Akron",
"state": "OH",
"postal_code": "443138391",
"country_code": "US",
"telephone_number": "216-352-3236",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOPER",
"first_name": "CRYSTAL",
"middle_name": "LAKEINA",
"name_prefix": "Ms.",
"credential": "MSW, LSW, CDCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-14",
"last_updated": "2024-09-13",
"certification_date": "2024-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.1803183",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kent, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.