Susan Cooper
Individual provider Active NPI Clinical Social Worker · Monona, WI
NPI 1497268296 · NPPES record last updated Nov 15, 2017
Key facts
- NPI
- 1497268296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 5900 Monona Dr Ste 312
Monona, WI 53716-3561 - Phone
- (608) 571-3560
- NPI assigned
- Nov 15, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
5900 Monona Dr Ste 312
Monona, WI 53716-3561
Mailing address
5900 Monona Dr Ste 312
Monona, WI 53716-3561
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49108 | Other | WI | BILLING ID NUMBER |
Other providers in Monona, WI
- Complete Family Dentistry of Madison LLC
- Aven Comstock
- Dayna Comstock
- Tammy J. Conrad
- Carolyn Lacy Cook
- Thea Sue Cornwell
- County of Dane Monona Grove School District
- Christina Marie Craven
- Jennifer Lynn Cummings
- Anthony J Curcio
All providers in Monona, WI · Clinical Social Worker in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.