Active NPI
Latonya R Cooper, LCSW
- Clinical Social Worker
- Valparaiso, IN
National Provider Identifier
1477892065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34007705A
- Practice address
- 2401 Valley Dr
Valparaiso, IN 46383-2520 - Phone
- (888) 580-1060
- NPI assigned
- Feb 3, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 33006441A | IN | |
| Clinical Social Worker | 1041C0700X | 34007705A | IN | Primary |
Addresses
Primary practice location
2401 Valley Dr
Valparaiso, IN 46383-2520
Mailing address
2946 W 60TH Dr
Merrillville, IN 46410-2223
Phone (219) 985-8105
Other practice location 1
1308 N Main St
Crown Point, IN 46307-2719
Phone (219) 663-6353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33006441A | IN | MD | Social Worker |
| 34007705A | IN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632441600000",
"number": "1477892065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2946 W 60TH DR",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464102223",
"telephone_number": "219-985-8105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 VALLEY DR",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463832520",
"telephone_number": "888-580-1060"
}
],
"practiceLocations": [
{
"address_1": "1308 N Main St",
"address_purpose": "LOCATION",
"city": "Crown Point",
"state": "IN",
"postal_code": "463072719",
"country_code": "US",
"telephone_number": "219-663-6353",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOPER",
"first_name": "LATONYA",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-03",
"last_updated": "2021-09-24",
"certification_date": "2021-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": "33006441A",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34007705A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.