Active NPI
Michelle Fernandes Cooper-Sood, MSW/ASW
- Counselor
- San Francisco, CA
National Provider Identifier
1376828236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 62541
- Practice address
- 1001 Potrero Ave
BLDG 80, Ward 82
San Francisco, CA 94110-3518 - Phone
- (415) 206-5397
- NPI assigned
- Oct 11, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | |||
| Counselor | 101Y00000X | 62541 | CA | Primary |
Addresses
Primary practice location
1001 Potrero Ave
BLDG 80, Ward 82
San Francisco, CA 94110-3518
Mailing address
1001 Potrero Ave
7M
San Francisco, CA 94110-3518
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62541 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434931200000",
"number": "1376828236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 POTRERO AVE",
"address_2": "7M",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941103518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 POTRERO AVE",
"address_2": "BLDG 80, WARD 82",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941103518",
"telephone_number": "415-206-5397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER-SOOD",
"first_name": "MICHELLE",
"middle_name": "FERNANDES",
"credential": "MSW/ASW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-11",
"last_updated": "2015-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "62541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.