Active NPI
Shawna Rae Cooper, LMSW
- Social Worker
- Ames, IA
National Provider Identifier
1477242006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 076888
- Practice address
- 614 Billy Sunday Rd Ste 100
Ames, IA 50010-8048 - Phone
- (515) 337-1764
- Fax
- (515) 337-0480
- NPI assigned
- May 1, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 076888 | IA | Primary |
Addresses
Primary practice location
614 Billy Sunday Rd Ste 100
Ames, IA 50010-8048
Mailing address
1616 NE Meadow CT
Ankeny, IA 50021-2505
Phone (515) 571-4877
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 |
|---|---|---|---|
| 076888 | IA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clear Brook Counseling Professionals, LLC | Current | Accepting new patients |
Locations
614 Billy Sunday Rd
Ste 100
Ames, IA 50010
Phone (515) 337-0480
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.
-
- Clinical Social Worker
- Ames, IA
- NPI 1619350782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682899200000",
"number": "1477242006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 NE MEADOW CT",
"city": "ANKENY",
"state": "IA",
"postal_code": "500212505",
"telephone_number": "515-571-4877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "614 BILLY SUNDAY RD STE 100",
"city": "AMES",
"state": "IA",
"postal_code": "500108048",
"telephone_number": "515-337-1764",
"fax_number": "515-337-0480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "SHAWNA",
"middle_name": "RAE",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-01",
"last_updated": "2023-05-01",
"certification_date": "2023-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IA",
"license": "076888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ames, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.