Constance L Cooper PA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW8901 Issued in FL

Legal business name

CONSTANCE L COOPER PA

Practice address

4040 Woodcock Dr
Building 2200, Suite 232
Jacksonville, FL 32207-2720

Phone

(904) 233-8690

NPI assigned

Jul 14, 2008

Organization subpart

No

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

Authorized official

Name

Constance L Cooper, LCSW

Title

Owner

Phone

(904) 233-8690

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1508020140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 WOODCOCK DR",
            "address_2": "BUILDING 2200, SUITE 232",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322072720",
            "telephone_number": "904-233-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 WOODCOCK DR",
            "address_2": "BUILDING 2200, SUITE 232",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322072720",
            "telephone_number": "904-233-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSTANCE L COOPER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-233-8690",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.