Active NPI
Alan Francis Cooper, LCSW
- Clinical Social Worker
- Gautier, MS
National Provider Identifier
1477585966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C001992
- Practice address
- 3529 Forrest Preserve Circle
Gautier, MS 39553 - Phone
- (228) 523-5298
- Fax
- (228) 523-4384
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| C001992 | NC | MD | Clinical Social Worker |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C001992 | NC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3529 Forrest Preserve Circle
Gautier, MS 39553
Mailing address
3529 Forrest Preserve
Gautier, MS 39553-5834
Phone (228) 523-5298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477585966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3529 FORREST PRESERVE",
"city": "GAUTIER",
"state": "MS",
"postal_code": "395535834",
"telephone_number": "228-523-5298",
"fax_number": "228-523-4384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3529 FORREST PRESERVE CIRCLE",
"city": "GAUTIER",
"state": "MS",
"postal_code": "39553",
"telephone_number": "228-523-5298",
"fax_number": "228-523-4384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "ALAN",
"middle_name": "FRANCIS",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C001992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gautier, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.