Pamela Cooper LCSW Cac III LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

575 Issued in CO

Legal business name

PAMELA COOPER LCSW CAC III LLC

Practice address

3570 E 12TH Ave Ste 303
Denver, CO 80206-3434

Phone

(303) 269-1191

Fax

(303) 395-1462

NPI assigned

Oct 23, 2014

Organization subpart

Yes

Parent organization

PAMELA COOPER, LCSW, CAC III LLCAs reported in NPPES

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

Authorized official

Name

Ms. Pam G Cooper, LCSW, CAC III

Title

Provider

Phone

(303) 269-1191

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pamela Goodfriend, LCSW, CAC III Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Tax ID family

Pamela Cooper LCSW Cac III LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pamela Goodfriend, LCSW, Cac III, LLC

  • Clinical Social Worker
  • Arvada, CO
  • NPI 1265625800
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela Goodfriend Cooper, LCSW, CAC III

  • Clinical Social Worker
  • Denver, CO
  • NPI 1700940368
  Medicare reassignment NPD
• Jennifer Nicole Ochsner, MA, LPCC, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Denver, CO
  • NPI 1932638640
  NPD (past)

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1447655170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 E 12TH AVE STE 303",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802063434",
            "telephone_number": "303-269-1191",
            "fax_number": "303-395-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 E 12TH AVE STE 303",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802063434",
            "telephone_number": "303-269-1191",
            "fax_number": "303-395-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA COOPER LCSW CAC III LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAMELA COOPER, LCSW, CAC III LLC",
        "enumeration_date": "2014-10-23",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "PAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "303-269-1191",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, CAC III"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MEDICARE NPI",
            "identifier": "1700940368",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pamela Goodfriend, LCSW, CAC III",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pamela Goodfriend, LCSW, CAC III",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paloma Dental, PLLC
• Rocio Esmeralda Palomares, BS
• Emma Margaret Palomino
• Cheryl Palsic, RN
• Pam Specialty Hospital of Denver LLC
• Pamela S Rotwein DDS
• Pamela T. Marsh, Psy.D., LTD
• Pamela Tyrrell MD PC
• Pammy Cares
• Melinda Lee Pampush, M.A., CCC-SLP

• Clinical Social Worker in Denver, CO
• Providers in Denver, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.