Sarah Moore Cooper, MSW, LCAS, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C006747 Issued in NC

Practice address

120 Greenwich Rd
Charlotte, NC 28211-2314

Phone

(704) 617-0756

Fax

(704) 870-3875

NPI assigned

Dec 21, 2007

Last updated

Sep 28, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Dogwood Counseling PLLC

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1407204837
  Authorized official Same address or phone

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443398400000",
    "number": "1407030711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 CHEVINGTON RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282264931",
            "telephone_number": "704-617-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 GREENWICH RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112314",
            "telephone_number": "704-617-0756",
            "fax_number": "704-870-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "SARAH",
        "middle_name": "MOORE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCAS, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-21",
        "last_updated": "2015-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1564",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6112130",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Koren Cooper, M.S., LPCA
• Latarsha Cooper
• Linda S. Cooper, CRNA
• Natasha Marie Cooper
• Nicholas Scott Cooper, CPO
• Siddiqah T Cooper
• Tiffany Cooper
• Whitney Janice Deshay Cope
• Edward Alan Copelan, MD
• Audrey Copeland, MSW, LCSWA

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, 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 Sep 28, 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.