Individual provider Active NPI

Erika Meganck Cooley, MSW

  • Clinical Social Worker
  • Tallahassee, FL
National Provider Identifier
1407329253
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16967 Issued in FL
Practice address
1882 Capital Cir NE
Suite 201
Tallahassee, FL 32308-3230
Phone
(850) 583-0067
NPI assigned
Jan 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11526 FL
Clinical Social Worker 1041C0700X 16967 FL Primary

Addresses

Primary practice location

1882 Capital Cir NE
Suite 201
Tallahassee, FL 32308-3230

Mailing address

1700 N Monroe St
Suite 11-PMB #300
Tallahassee, FL 32303-3679
Phone (850) 583-0067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200205000607 FL Practitioner - Clinical Social Worker 6608202999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1882 Capital Cir NE
Suite 201
Tallahassee, FL 32308-4568
Phone (850) 583-0067

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16967FLMDClinical Social Worker
11526FLMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Erika Cooley, LCSW, LLC Clinical CurrentSince Jan 4, 2022 Accepting new patients

Locations

1882 Capital Cir NE
Ste 201
Tallahassee, FL 32308
Phone (850) 583-0067

1700 N Monroe St
Ste 11
Tallahassee, FL 32303
Phone (850) 583-0067

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1407329253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N MONROE ST",
            "address_2": "SUITE 11-PMB #300",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323033679",
            "telephone_number": "850-583-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1882 CAPITAL CIR NE",
            "address_2": "SUITE 201",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323083230",
            "telephone_number": "850-583-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "ERIKA",
        "middle_name": "MEGANCK",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-04",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "11526",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "16967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.