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

Last updated

Jul 15, 2008By the provider in NPPES

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, LCSWNPI 1033397096

Title

Owner

Phone

(904) 233-8690

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Constance Cooper, LCSW

  • Clinical Social Worker
  • Jacksonville, FL
  • NPI 1033397096
  Authorized official Same address or phone

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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• Laura Contess

• 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.