Kathy A Cooper, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1110 Cedar CT
Carbondale, IL 62901-5300

Phone

(618) 457-4144

Fax

(618) 457-6091

NPI assigned

Jan 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Naeem a Qureshi PC

  • Psychiatry Physician
  • Marion, IL
  • NPI 1467492298
  NPD (past)

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1558340257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 CEDAR CT",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629015300",
            "telephone_number": "618-457-4144",
            "fax_number": "618-457-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 CEDAR CT",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629015300",
            "telephone_number": "618-457-4144",
            "fax_number": "618-457-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "KATHY",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Health & Emergency Services, Inc.
• Complete Family Eyecare of Carbondale, PC
• Cook Psychological Services, LLC
• Lynn Scott Cook, MD
• Robert F Cook, PSY.D.
• Scott A. Cooper, M.D.
• Holly Cormier, PH.D.
• Kristine Laubhan Cornett, P.T.
• Alejandra Q Corona, LSW
• Michelle Corzine, APRN

• Clinical Social Worker in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.